Title
Primary Angle Closure
Authoring Organization
Publication Month/Year
November 1, 2015
Last Updated Month/Year
August 16, 2023
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
Identify patients who currently have or are at risk of developing PACG or AACC by using Gonioscopy. Successfully manage AACC. Prevent or reverse angle closure by using laser iridotomy and/or iridoplasty when indicated, and by using incisional iridectomy when necessary to alleviate pupillary block. Confirm by repeat gonioscopy that the angle is open after intervention. If not, consider incisional surgery when laser therapy does not alleviate pupillary block. Identify and manage patients with chronic IOP elevation that persists after iridotomy or iridoplasty. Evaluate the fellow eye for evidence of angle closure or an anatomically narrow angle in AACC, and consider performing a prophylactic iridotomy when indicated. Educate the patient and family members about the characteristics of the disease and involve them in the patient’s management. Also, communicate to family members that they themselves may be at risk of angle closure and should be evaluated.
Inclusion Criteria
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory, Emergency care, Hospital, Outpatient
Intended Users
Optician, nurse, nurse practitioner, physician, physician assistant
Scope
Management, Treatment
Diseases/Conditions (MeSH)
D015812 - Glaucoma, Angle-Closure
Keywords
Visual loss, primary glaucoma, primary angle closure