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Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
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Angle-closure glaucoma on long-haul flights.

Andrew M J Turnbull1, Michael Smith2, Mahesh Ramchandani1

  • 1Bournemouth Eye Unit, Royal Bournemouth Hospital, Bournemouth, England.

JAMA Ophthalmology
|September 27, 2014
PubMed
Summary
This summary is machine-generated.

Angle-closure glaucoma (ACG) on long-haul flights can cause vision loss. Prompt recognition and treatment are crucial for at-risk passengers, with prophylactic eyedrops potentially beneficial.

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Area of Science:

  • Ophthalmology
  • Aerospace Medicine

Background:

  • Long-haul flights pose unique medical challenges due to delayed access to specialist care.
  • Angle-closure glaucoma (ACG) is a serious ophthalmic emergency that can occur during air travel, potentially leading to irreversible vision loss.

Observation:

  • A case series of three female, hypermetropic patients experiencing ACG during long-haul flights is presented.
  • Patients suffered significant morbidity while awaiting medical intervention unavailable in-flight.

Findings:

  • ACG is an underrecognized risk for hypermetropic individuals on long flights.
  • Delayed treatment due to flight duration exacerbates patient morbidity.

Implications:

  • Patients with ACG risk factors should be educated on symptoms and immediate actions.
  • Pilocarpine eyedrops may offer prophylactic benefits for at-risk travelers.
  • Airline crew training in recognizing and managing ACG is recommended.