Programm                 "Degeneration und Regeneration– Grundlagen, Diagnostik und Therapie"

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Acute Angle Closure Glaucoma - Management of the Fellow Eye

Stefanescu-Dima A., Ciubotaru A., Stoica C., Ursea L.
Bucharest Ophthalmology Hospital, Romania

Purpose: To evaluate the mid-term efficiency of laser peripheral iridotomy (LPI) in preventing IOP increase and angle closure in the fellow eye after acute primary angle closure glaucoma.
Method: Prospective, noncomparative, interventional case series – 27 consecutive cases with acute primary angle closure glaucoma on presentation were enrolled in the study between Aug-Dec 2001. Mean follow-up time: 14 months (12-18 months).
Design of the study:
- On presentation: assessment of IOP and gonioscopy of the fellow eye; LPI of the fellow eye within 24h of presentation 
- IOP assessment of the fellow eye thrice a day until discharge 
- Gonioscopy of the fellow eye at discharge 
- One month later: visual field; optic nerve head evaluation of the fellow eye after pupil dilation; IOP monitoring until pupil recovery
IOP assessment on a monthly basis.
Results: 2 patients presented with bilateral angle closure attack and were not of interest to our study; 1 patient developed angle closure of the fellow eye immediately after the initial gonioscopy but was promptly managed with LPI; 7 patients had IOP > 21 mm Hg of the fellow eye on presentation, required medication after LPI but did not develop acute angle closure during the follow-up; 17 patients had normal IOP of th

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