NDLI: Long-term outcomes after acute primary angle closure in a White Caucasian population

Content Provider	Springer Nature : BioMed Central
Author	Andreatta, Walter Elaroud, Ibrahim Nightingale, Peter Nessim, Maged
Abstract	Introduction Very limited data is available on the morbidity and progression to primary angle closure glaucoma (PACG) in White Caucasian individuals following acute primary angle closure (APAC). Our aim is to identify the number of eyes who developed PACG following an APAC attack and to determine the risk factors for PACG development in a White Caucasian population in the United Kingdom (UK). We assessed the rate of blindness and visual impairment in the affected eye as defined by the World Health Organisation. Methods Retrospective observational study including 48 consecutive eyes of 46 White Caucasian subjects who presented with APAC to a tertiary referral unit in the United Kingdom. Eyes affected by glaucomatous optic neuropathy at presentation were excluded. We included in our analysis socio-demographic variables, ophthalmic findings, investigations and treatment. Results The mean final follow up period was 27 months ± 14 standard deviation (SD). Seven (15 %) eyes developed PACG. Statistical analysis showed that the following factors were linked to a higher risk of progression: length of symptoms before presentation and time taken to break the attack. The intraocular pressure (IOP) was significantly higher in the group who developed PACG at the one- and six-month visit compared to the group which did not develop the disease. At the final visit 3 (6 %) eyes were blind while 5 (10 %) were visually impaired. PACG was responsible for visual impairment in 2 (4 %) eyes but not for any case of blindness. Conclusions Delayed presentation, length of time taken to break the attack and poor IOP control can result in PACG development and visual impairment. APAC causes a low long-term visual morbidity in White Caucasians.
Related Links	https://bmcophthalmol.biomedcentral.com/counter/pdf/10.1186/s12886-015-0100-5.pdf
Ending Page	5
Page Count	5
Starting Page	1
File Format	HTM / HTML
ISSN	14712415
DOI	10.1186/s12886-015-0100-5
Journal	BMC Ophthalmology
Issue Number	1
Volume Number	15
Language	English
Publisher	BioMed Central
Publisher Date	2015-08-19
Access Restriction	Open
Subject Keyword	Ophthalmology Glaucoma Retinal Nerve Fibre Layer Glaucomatous Optic Neuropathy Primary Angle Closure Glaucoma Primary Angle Closure
Content Type	Text
Resource Type	Article
Subject	Ophthalmology
Journal Impact Factor	1.7/2023
5-Year Journal Impact Factor	2/2023

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