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Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

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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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Corneal Cross-linking at the Slit Lamp.

Farhad Hafezi, Olivier Richoz, Emilio A Torres-Netto

    Journal of Refractive Surgery (Thorofare, N.J. : 1995)
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    Corneal cross-linking (CXL) and photo-activated chromophore for keratitis-CXL (PACK-CXL) can now be performed at a slit lamp. This new technique makes CXL more accessible and affordable for patients, reducing infrastructure needs.

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    Area of Science:

    • Ophthalmology
    • Surgical Techniques

    Background:

    • Corneal ectasias require treatments like corneal cross-linking (CXL).
    • Photo-activated chromophore for keratitis-CXL (PACK-CXL) is another treatment option.
    • Traditional CXL and PACK-CXL often require operating room infrastructure.

    Purpose of the Study:

    • To describe a novel surgical technique for performing CXL and PACK-CXL in an upright, seated position at a slit lamp.
    • To present an alternative to traditional operating room-based procedures.

    Main Methods:

    • The procedure involves topical anesthesia, disinfection, and epithelial debridement using ethanol.
    • Riboflavin application is followed by ultrasound pachymetry to assess stromal thickness.
    • Ultraviolet irradiation is administered while the patient is seated at the slit lamp.

    Main Results:

    • Performing CXL at the slit lamp is a straightforward technique.
    • This method significantly reduces the infrastructure requirements for CXL and PACK-CXL.

    Conclusions:

    • Slit-lamp CXL offers a viable option for clinics lacking operating room facilities.
    • This approach lowers procedure costs by eliminating operating room fees, enhancing patient accessibility and affordability.