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Angle closure glaucoma is characterized by an optic neuropathy with a glaucomatous visual field defect with a white painless eye and mimics primary open-angle glaucoma. Acute angle closure attack is more symptomatic, with a red painful eye and elevated intraocular pressure. In both cases, iridocorneal angle closure is due to an increase in the thickness of the natural lens, which with age has a tendency to close a narrow angle. The rational approach to treating these situations is lens extraction. With today's improved lens extraction techniques, this surgical treatment should be proposed more frequently.
Centre d'ophtalmologie du Trocadéro, Paris, Service d'ophtalmologie, Hôpital Saint Joseph, 185, Raymond Losserand, 75674 Paris cedex 14, France. ylachkar@hpsj.fr
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
9.3.2 Chronic primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)