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Angle Closure Glaucoma: Treatment01:28

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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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Updated: May 10, 2025

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Navigating decisional conflict: laser peripheral iridotomy for primary angle-closure glaucoma prevention.

Yi-Jie Chen1, Jing-Yao Dai1, Rong-Rong Le2

  • 1School of Ophthalmology and Optometry, Biomedical Engineering, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China.

International Journal of Ophthalmology
|April 21, 2025
PubMed
Summary

Patients with primary angle-closure suspect (PACS) or primary angle-closure (PAC) frequently experience decisional conflict regarding laser peripheral iridotomy (LPI) treatment. Factors like gender, disease duration, and personal decision-making preferences significantly influence this conflict.

Keywords:
decisional conflictglaucomalaser peripheral iridotomyprimary angle-closureprimary angle-closure suspect

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Area of Science:

  • Ophthalmology
  • Medical Decision-Making

Background:

  • Primary angle-closure suspect (PACS) and primary angle-closure (PAC) are glaucoma subtypes.
  • Laser peripheral iridotomy (LPI) is a common treatment option for these conditions.
  • Decisional conflict can impact patient adherence and outcomes.

Purpose of the Study:

  • To investigate decisional conflict in patients with PACS or PAC considering LPI.
  • To identify factors contributing to decisional conflict in this patient group.

Main Methods:

  • 111 patients with PACS or PAC were recruited.
  • Data collected via general information questionnaire and Decision Conflict Scale.
  • Multiple linear regression analysis was used to identify influencing factors.

Main Results:

  • 99.1% of patients reported decisional conflict (mean score 48.58±10.01).
  • Higher conflict observed in females, those with shorter disease duration, diagnosed during visits, refusing LPI, facing economic burdens, and preferring independent or family-involved decisions.

Conclusions:

  • Significant decisional conflict is common for PACS/PAC patients considering LPI.
  • Healthcare providers must assess gender, disease duration, diagnosis method, LPI status, economic factors, and decision-making preferences.
  • Tailored decision support can mitigate conflict and improve treatment choices.