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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Related Experiment Video

Updated: Mar 23, 2026

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
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Bilateral Acute Angle-closure after Intraocular Surgery.

Kirsten Hoskens1, Luis Abegão Pinto2, Evelien Vandewalle3

  • 1Resident, Department of Ophthalmology, UZ Leuven, Belgium.

Journal of Current Glaucoma Practice
|March 22, 2016
PubMed
Summary
This summary is machine-generated.

A rare case of acute bilateral angle-closure glaucoma with choroidal effusion occurred after cataract surgery. Medical treatment gradually reduced intraocular pressure and effusion, suggesting a complex cause beyond sulfamide drugs.

Keywords:
AcetazolamideAcute secondary angle-closure.Choroidal effusionSurgery complication

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Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Surgical Complications

Background:

  • Cataract surgery is a common procedure with generally low complication rates.
  • Acute angle-closure glaucoma is a rare but serious postoperative complication.
  • Choroidal effusion can occur postoperatively and contribute to angle-closure.

Observation:

  • A 75-year-old woman developed acute bilateral angle-closure with choroidal effusion one day after uneventful cataract surgery.
  • The patient had undergone a prior uneventful cataract surgery on the other eye two weeks earlier.
  • Medical management with acetazolamide, beta-blockers, and steroids resulted in gradual IOP reduction and resolution of choroidal effusion.

Findings:

  • The case presents a rare instance of bilateral acute angle-closure post-cataract surgery.
  • Resolution of symptoms with medical treatment was observed.
  • The pathophysiology may be more complex than previously suggested by links to sulfamide drugs.

Implications:

  • This case highlights the importance of recognizing and managing rare postoperative complications after cataract surgery.
  • Further research into the complex pathophysiology of angle-closure glaucoma post-surgery is warranted.
  • Ophthalmologists should consider a broader differential diagnosis for angle-closure post-intraocular surgery.