Acute Angle-Closure Glaucoma (AACG) Follow-up

Updated: May 25, 2017
  • Author: Albert P Lin, MD; Chief Editor: Inci Irak Dersu, MD, MPH  more...
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Follow-up

Further Outpatient Care

The patient needs to be monitored closely after the initial acute angle closure (AAC) to ensure the following:

  • The IOP is normalized and AAC does not recur.
  • Perform laser iridotomy once there is sufficient view into the anterior chamber.
  • Ensure the laser treatment is effective or if additional treatment, such as iridoplasty, is indicated.
  • Treat the patient until the inflammation has subsided and the pupil and vision return to normal. Gradually taper the medications.
  • Assess the contralateral eye and perform laser treatment, if needed.
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Further Inpatient Care

Patients in AAC needs to be treated until the IOP normalizes. IOP can increase after laser iridotomy, and the IOP should be checked 30-60 minutes after the treatment prior to releasing the patient. 

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Complications

Loss of vision or blindness can occur without prompt treatment.

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Prognosis

The prognosis is favorable with early detection and treatment. The best way to prevent loss of vision is to treat susceptible individuals prior to AAC.

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Patient Education

Patients need to promptly seek an eye care professional if symptoms (pain, decreased vision, headache, and vomiting) suggest AAC.

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