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Related Experiment Videos

Fellow eye in angle-closure glaucoma.

S W Hyams, Z Friedman, C Keroub

    The British Journal of Ophthalmology
    |April 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Prophylactic peripheral iridectomy in the fellow eye is recommended for angle-closure glaucoma (ACG) patients with poor follow-up compliance. However, it may be safely avoided in approximately 23% of patients who attend regular check-ups.

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    Area of Science:

    • Ophthalmology
    • Glaucoma Research
    • Public Health

    Background:

    • Angle-closure glaucoma (ACG) is a serious ocular condition that can lead to vision loss.
    • Understanding the prevalence and risk factors of ACG in fellow eyes is crucial for effective management.
    • Prophylactic interventions aim to prevent vision-threatening events in at-risk individuals.

    Purpose of the Study:

    • To investigate the incidence and presentation of angle-closure glaucoma (ACG) in the fellow eye of patients initially diagnosed with ACG.
    • To evaluate the utility of provocative testing in detecting ACG in the fellow eye.
    • To determine the optimal management strategy for prophylactic treatment in the fellow eye based on patient follow-up adherence.

    Main Methods:

    • A cohort of 118 consecutive patients with angle-closure glaucoma (ACG) was studied.

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  • Patients were categorized based on the presentation of ACG in the primarily affected eye (acute, intermittent/chronic, or secondary to cataract).
  • The fellow eye was assessed for ACG, including the use of provocative testing in some cases.

    • Main Results:

    • Angle-closure glaucoma (ACG) was detected in the fellow eye of 72% of patients.
    • In 27 fellow eyes, ACG was only identifiable through provocative testing.
    • A significant proportion of patients (11 out of 118) did not complete follow-up investigations.

    Conclusions:

    • Prophylactic peripheral iridectomy in the fellow eye is advisable for ACG patients with a high likelihood of missed follow-up appointments.
    • Approximately 23% of patients who consistently attend follow-up may not require prophylactic iridectomy.
    • Individualized management decisions regarding prophylactic treatment should consider patient compliance and the risk of undetected ACG.