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AIM: To analyze the natural course of acute angle-closure glaucoma and to explore the effect factors of vision and personalized treatment. METHODS: Clinical data of 205 cases of acute angle-closure glaucoma patients, including current medical history, preoperative examination, timing of surgical treatment, surgical options and post-operative complications of treatment, discharge and impact of visual factors, follow-up data were retrospectively analyzed. RESULTS: The information collected from 205 cases, with seven cases of drug treatment, 198 cases of surgical treatment (96.6%). Of the 198 cases of surgical eyes, vision decreased at discharge in 108 cases (54.6%), remained the same in 42 cases (21.2%), improved in 48 cases (24.2%); 7 cases of the eyes without surgery remained unchanged in 6 cases, 1 case improved. There were 101 cases of complicated cataract, 89 cases of iris atrophy and fixed mydriasis. CONCLUSION: The acute angle-closure glaucoma is a group of relatively independent anterior segment syndrome, in addition to optic nerve damage, interstitial damage of the high intraocular pressure, such as cornea, iris, and lens, is also an important reason for decreased vision. Acute angle-closure glaucoma treatment should be different for different patients, with the phased implementation of personalized treatment. LA: Chinese
Q.-X. Xu. Department of Ophthalmology, Forestry General Hospital of the Inner Mongolia Autonomous Region, Yakeshi 022150, China. nanana1983@126.com
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)