Corneal indentation works, almost universally, and especially when applied as per the corneal indentation protocol

Lau, Fiona S; Lee, Brendon W.H.; Agar, Ashish; Coroneo, Minas T.; Masselos, Katherine; Bank, Allan; Francis, Ian C.

doi:10.1016/j.survophthal.2019.03.001

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Further, there is the intrinsic risk of attendant corneal and iris burns. Hence, the authors recommend the implementation of effective corneal indentation [3,4]. Anecdotally, one patient seen in Myanmar by one of the authors (ICF) had had AAC for five days, with a pressure of 70 mmHg at presentation.…”

Section: Discussionmentioning

confidence: 99%

“…The pupils reacted normally, but the right was slightly dilated (right 2.3 mm, left 1.7 mm). Following administration of oral acetazolamide and topical timolol/brimonidine (Combigan®), she underwent right corneal indentation for this episode of AAC [3,4]. After 10 cycles of corneal indentation, the patient's right IOP settled to 19 mmHg.…”

Section: Case Presentationmentioning

confidence: 99%

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Lessons From Management: Perioperative Phacoemulsification Planning Following Resolution of Acute Angle Closure

Lee¹,

Lau²,

Wong³

et al. 2021

Cureus

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Patients with loose zonular apparatus after acute angle closure may require phacoemulsification cataract surgery. The authors' experience from management of such patients provides excellent instruction on the surgical intervention for their cataracts. This is because patients who have recovered from acute angle closure glaucoma may not have evident zonular laxity preoperatively, as the iris may be taut secondary to the effects of associated ischaemia. If the surgeon's preoperative planning is directed to the possibility of loose zonular apparatus, then appropriate preoperative, intraoperative, and postoperative planning and management can be effected. This may permit preoperative patient counselling regarding the potentially increased complexity of the case. Intraoperatively, deliberately gentle capsulorrhexis, the use of iris hooks or a pupil expander to dilate the pupil, iris hooks to support the capsular bag, and the employment of a capsular tension ring may be helpful. Postoperatively, due to the previous ocular ischaemia, intraocular pressure elevation may ensue, and should be actively managed. The authors provide a summary of factors that require consideration in patients undergoing cataract surgery following acute angle closure.

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Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Lessons From Management: Perioperative Phacoemulsification Planning Following Resolution of Acute Angle Closure

Lee¹,

Lau²,

Wong³

et al. 2021

Cureus

View full text Add to dashboard Cite

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Acute angle closure glaucoma misdiagnosed as sinusitis

Lee,

Woo,

Agar

et al. 2023

Pract Neurol

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A 69-year-old woman developed severe right suprabulbar pain with blurred right-sided vision. There were no haloes around lights, photophobia, nausea or vomiting. Investigations in the emergency department excluded a posterior communicating/internal carotid artery aneurysm. However, she did not have an ophthalmological assessment and the initial diagnosis was of sinusitis-related headache. An urgent ear, nose and throat assessment found no abnormality, but a local ophthalmologist subsequently diagnosed and managed the patient’s acute angle closure crisis. Periocular pain always deserves detailed assessment with an accurate history, visual acuity assessment and intraocular pressure measurement.

show abstract

Corneal indentation works, almost universally, and especially when applied as per the corneal indentation protocol

Cited by 2 publications

References 6 publications

Lessons From Management: Perioperative Phacoemulsification Planning Following Resolution of Acute Angle Closure

Lessons From Management: Perioperative Phacoemulsification Planning Following Resolution of Acute Angle Closure

Acute angle closure glaucoma misdiagnosed as sinusitis

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