The goal of narrow-angle glaucoma treatment is to reduce intraocular pressure as soon as possible.
This can be done with systemic medications taken orally or sometimes given intravenously. Topical eye drops for glaucoma also are often used to treat narrow-angle glaucoma. Frequently, laser and/or nonlaser glaucoma surgery may be required to reduce the IOP.
The treatment for narrow-angle glaucoma is known as a peripheral iridectomy. This is a laser procedure that creates a new opening in the iris to allow the aqueous fluid to move more easily to the drainage site. The peripheral iridectomy is usually performed in the doctor’s office and is generally performed on both eyes because the risk of developing the condition in both eyes is high.
Systemic medicines for narrow-angle glaucoma
As the pressure is very high inside the eye, this needs to be dropped rapidly and therefore medicines, such as acetazolamide, are given rapidly into the circulation through a vein. This should reduce the pressure quite quickly.
Laser treatment for narrow-angle glaucoma
A hole in the coloured part of the iris is essential in order to prevent this condition happening again. This hole is usually made using a laser.Both eyes need to be treated, as although only one eye is usually affected, the other eye will go on to develop acute closed angle closure if left untreated.
Surgical treatment for narrow-angle glaucoma
Sometimes all the above treatments do not allow control of the pressure and therefore a trabeculectomy (as outlined above in primary open angle glaucoma) may be required.
What medicines should patients with Narrow Angle Glaucoma avoid?
Patients with Narrow Angle Glaucoma should avoid cold remedies which contain Pseudoephedrine, Phenylephrine or Neo-Synephrine; anti-histaminics Chlorpheniramine, Diphenhydramine or Benadryl and overactive bladder remedies such as Detrol. These remedies often carry a warning telling you not to use them if you have glaucoma. If your Narrow Angle Glaucoma has been treated with laser, these medicines become safe for you to use. The above medicines generally do not cause problems to patients who have POAG type glaucoma.
Remember that acute angle-closure glaucoma may be triggered by anything dilating the pupil, resulting in the iris blocking the drainage angle in the eye’s anterior chamber. Dim lighting, eye drops administered by your eye care practitioner during an eye examination or certain medications such as antihistamine/decongestant drops or cold medications may cause an acute angle-closure glaucoma attack.
Whereas interior bud structures are blocked in this distance, your organ of sight's inner grievance (intraocular distress or IOP) may head and perhaps mar the visual strength that transmits images from the keep in view to the brain. Keen angle-closure (closed-angle or narrow-angle) glaucoma produces symptoms like since shoot worry, ...
Glaucoma is often called "the sneak thief of sight." This is because, in most cases of glaucoma the intraocular pressure of the eye can build up and destroy sight without causing obvious symptoms. Acute narrow angle glaucoma (also called angle closure glaucoma) is one of the two basic categories of ...
Acute narrow angle glaucoma occurs primarily in patients who have a shallow space between the cornea at the front of the eye and the colored iris that lies just behind the cornea. As the eye ages, the natural lens behind the pupil grows and the pupil becomes smaller, restricting the ...
Narrow angle glaucoma symptoms usually last as long as the pressure inside the eye remains high.Narrow angle glaucoma is usually very painful because of the sudden increase in pressure inside the eye. In some cases, when the drainage angle is only partially or temporarily blocked, there can be warning attacks ...
An eye exam may be used to diagnose glaucoma. The doctor will need to examine the inside of the eye by looking through the pupil, often while the pupil is dilated. The doctor will usually perform a complete eye exam. During eye exams, your doctor will use tonometry to check ...
