Macular hemorrhage as a cause of acute angle closure

Williams, Gwyn Samuel; Anderson, Luke; Eddyshaw, David

doi:10.4103/0301-4738.123148

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…This includes fundi examination (if possible), B scan and ultrasound biomicroscopy. The aim is to look for secondary causes of acute angle closure such as lens subluxation [22] and haemorrhage of the posterior segment [23][24][25][26][27]. Massively detached choroid and retina due to haemorrhage could lead to forward displacement of the lens-iris diaphragm.…”

Section: Treatment Approach and Considerationsmentioning

confidence: 99%

Acute primary angle closure–treatment strategies, evidences and economical considerations

Chan

Pang

Tham

2018

Eye

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Acute primary angle closure requires emergency management that involves a rapid lowering of the intraocular pressure and resolution of relative pupil blockthe most common mechanism of angle closure. Emergency strategies for lowering intraocular pressure include medical treatment and argon laser peripheral iridoplasty. Anterior chamber paracentesis and diode laser transcleral cyclophotocoagulation may be considered in special situations. Relative pupil block can be relieved by peripheral laser iridotomy and primary lens extraction; the latter is a more effective treatment according to the results of clinical trials. However, primary lens extraction can be technically demanding in the acute setting. Peripheral laser iridotomy has a role in relieving pupil block and should also be considered in most cases. Lens extraction may be combined with procedures such as goniosynechialysis, trabeculectomy or endoscopic cyclophotocoagulation. In this review, we aim to discuss the available evidence regarding the different treatment modalities. We also discuss the economic consideration, including cost-effectiveness and life expectancy, in the management of acute primary angle closure.

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Section: Treatment Approach and Considerationsmentioning

confidence: 99%

Acute primary angle closure–treatment strategies, evidences and economical considerations

Chan

Pang

Tham

2018

Eye

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“…describing a case of macular hemorrhage causing angle closure glaucoma. [ 1 ] The fundus photo shows pigment epithelial detachments and massive sub-macular hemorrhage, which is one of the common presenting features of polypoidal choroidal vasculopathy (PCV). [ 2 3 ] We are curious to know if fluorescein angiography or indocyanine green angiography was performed and, if so, whether these investigations revealed lesions consistent with neovascular age-related macular degeneration (AMD) or PCV.…”

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confidence: 99%

“…described that their patient had an abnormally severe episode of cough, which might have caused the neovascular membrane to bleed and thereby precipitating the sub-retinal hemorrhage. [ 1 ] It has also been previously suggested that factors such as age, hypertension, and arteriosclerosis increase the fragility of blood vessels and hence their susceptibility to shearing forces such as coughing. [ 3 ] A paper by Tan et al .…”

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confidence: 99%

Massive submacular hemorrhage resulting in acute angle closure

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Cheong

Tan

2014

Indian J Ophthalmol

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“…We are very grateful for the interest shown in our article by the above contributor. [ 1 2 ] Fundus fluorescein angiography (FFA) was indeed performed and although the images demonstrated an occult leakage, the quality was such that detailed interpretation was not possible due to the masking effect of the blood. Your contributors are correct in that it has long been known that indocyanine green angiography has long been demonstrated as being superior to FFA in macular degeneration cases involving hemorrhages although, in this case, the images were also deemed unhelpful due to the blood.…”

mentioning

confidence: 99%