Emerging treatments

Surgical treatment for acute angle closure attacks

A few reports suggest that an acute attack of angle closure can be terminated by surgical means such as an anterior chamber paracentesis to acutely lower intraocular pressure (IOP) and break the cycle of rising IOP. It may also allow clearing of the corneal edema to facilitate laser peripheral iridotomy (LPI). Other reports recommend laser iridoplasty, corneal indentation, or cataract or clear lens extraction.[65][66]

Surgical treatment for chronic angle-closure glaucoma

The treatment of chronic angle-closure glaucoma is similar to that of open-angle glaucoma. Procedures developed to treat chronic angle-closure glaucoma include the Ex-PRESS glaucoma implant, canaloplasty, trabectome, and trabecular micro-bypass stent.[67][68][69]

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