Primary acute angle closure: long-term clinical outcomes over a 10-year period in the Chinese population

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• 作者：Jacky W. Y. Lee (1)
  Billy K. T. Wong (1)
  Doris W. F. Yick (1)
  Ian Y. H. Wong (1)
  Can Y. F. Yuen (1)
  Jimmy S. M. Lai (1)
  
• 关键词：Primary acute angle closure ; Intraocular pressure ; Visual acuity ; Outcome ; Treatment ; Laser
• 刊名：International Ophthalmology
• 出版年：2014
• 出版时间：April 2014
• 年：2014
• 卷：34
• 期：2
• 页码：165-169
• 全文大小：238 KB
• 参考文献：1. Congdon NG, Friedman DS (2003) Angle-closure glaucoma: impact, etiology, diagnosis, and treatment. Curr Opin Ophthalmol 14(2):70-3 w window">CrossRef
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• 作者单位：Jacky W. Y. Lee (1)
  Billy K. T. Wong (1)
  Doris W. F. Yick (1)
  Ian Y. H. Wong (1)
  Can Y. F. Yuen (1)
  Jimmy S. M. Lai (1)
  
  1. The Department of Ophthalmology, The University of Hong Kong, Room 301 Level 3 Block B, Cyberport 4, 100 Cyberport Road, Hong Kong Special Administrative Region, China
  
• ISSN：1573-2630

文摘

To investigate long-term clinical outcomes after acute angle closure in the Chinese population. A 10-year retrospective review of primary?acute angle closure in Hong Kong Chinese to document patient demographics, treatment, and pre- and post-acute angle closure intraocular pressure (IOP) and visual acuity (VA). The year of attack was correlated with the timing of laser, last VA and IOP, and the number of anti-glaucoma eye drops. In 210 eyes (200 patients), 10?% had a simultaneous bilateral acute angle closure. VA improvement was noted in 68.6?% of eyes whilst 11.4?% were blinded. At 3.7?±?2.4?years of follow-up, 49.5?% had IOP <21?mmHg with medication or surgery, 41.9?% needed anti-glaucoma eye drops, and 13.8?% had undergone trabeculectomy. The older the year of attack, the poorer the VA (r?=?0.2, p?=?0.03) and the longer the laser wait time (r?=?0.3, p?<?0.0001). VA outcome and laser promptness in acute angle closure has improved over the years. At 4?years after the attack, 50?% had normal IOP, 69?% had improved VA but 11?% were blinded.