How do you control Phacomorphic glaucoma?
Table of Contents
The treatment of phacomorphic glaucoma may require the use of medical therapy or laser and incisional surgery. The definitive treatment for phacomorphic glaucoma is cataract extraction, but it is easier and safer to perform cataract surgery after first lowering the IOP with medication.
What medications should be avoided with narrow angle glaucoma?
WHAT TO AVOID IF YOU HAVE NARROW ANGLES
- Decongestants/Cold medications.
- Allergy medications.
- Anxiety and depression medications (Do NOT stop these without discussing with your doctor as this can result in withdrawal symptoms)
- Reflux/nausea medication.
- Incontinence/Overactive bladder medication.
What causes Phacomorphic glaucoma?
Phacolytic glaucoma is caused by an inflammatory process caused by the leakage of lens material through the capsule of a mature cataract. The released lens material is composed of altered lens protein, macrophages, and other inflammatory cells that lead to trabecular meshwork obstruction and precipitate glaucoma.
Can secondary glaucoma be cured?
Treatment for secondary glaucoma While glaucoma can’t be cured or its effects reversed, it can often be treated successfully, limiting damage to the optic nerve and preventing further loss of vision.
Is laser iridotomy really necessary?
Theoretically, laser peripheral iridotomy should prevent the onset of chronic ACG as well as acute ACG, although once chronic ACG is established, limited evidence suggests that laser peripheral iridotomy may be insufficient to control intraocular pressure.
What does Phacomorphic mean?
Phacomorphic glaucoma is the term used for secondary angle-closure glaucoma due to lens intumescence. The increase in lens thickness from an advanced cataract, a rapidly intumescent lens, or a traumatic cataract can lead to pupillary block and angle closure.
What are the risk factors for secondary glaucoma?
Secondary glaucoma may be caused by an eye injury, inflammation, certain drugs such as steroids and advanced cases of cataract or diabetes. The type of treatment will depend on the underlying cause, but usually includes medications, laser surgery, or conventional surgery.
What are the symptoms of secondary glaucoma?
As secondary glaucoma progresses, symptoms include the loss of field vision and using stairs becomes difficult. Reading and vision are still normally good. If left untreated, sight may be lost. Some patients report eye ache with cloudy vision.
What are the treatment options for phacomorphic glaucoma?
The treatment of phacomorphic glaucoma may require the use of medical therapy or laser and incisional surgery. The definitive treatment for phacomorphic glaucoma is cataract extraction, but it is easier and safer to perform cataract surgery after first lowering the IOP with medication.
Why is cataract surgery difficult in patients with phacomorphic glaucoma?
Cataract surgery in patients with phacomorphic glaucoma can be challenging. A high preoperative IOP is often associated with a cloudy, edematous cornea and thus a poor surgical view.
What are the physical findings characteristic of phacomorphic glaucoma?
On examination, patients with phacomorphic glaucoma usually have elevated IOP, an edematous cornea, a shallow anterior chamber, and an advanced cataract. By definition, these individuals have closed anterior chamber angles.
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