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An Indian perspective on primary angle closure and glaucoma

Ramanjit Sihota1

  • 1Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India. rjsihota@hotmail.com

Indian Journal of Ophthalmology
|December 15, 2010
PubMed

Insights

Primary angle closure disease is common in India, affecting nearly half of adult glaucoma cases. Management involves iridotomy and intraocular pressure control for effective treatment.

Area of Science:

  • Ophthalmology
  • Glaucoma Research

Background:

  • Primary angle closure disease (PACD) is a significant cause of adult primary glaucoma in India.
  • Anatomical factors like reduced corneal diameter and anterior chamber depth are noted in PACD patients.

Purpose of the Study:

  • To summarize primary angle closure disease in India.
  • To review Indian studies on primary angle closure disease.

Main Methods:

  • Review of existing Indian studies on primary angle closure disease.
  • Analysis of anatomical factors, management strategies, and disease progression.

Main Results:

  • Primary angle closure glaucoma constitutes nearly 50% of adult primary glaucomas in Indian hospitals.
  • Iridotomy controlled intraocular pressure in 66.7% of subacute and 12.9% of acute cases.
  • Latanoprost demonstrated greater IOP reduction compared to timolol; disease progression observed over 5 years.

Conclusions:

  • Primary angle closure disease is prevalent in India.
  • Effective management is achievable with iridotomy and appropriate intraocular pressure control.
Abstract

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