Evolution and results of the glaucoma caused by primary angular closing

Abstract

Objective: Evaluating the evolution and final results of the patients with glaucoma by primary angular closing.
Methods: We made an observational, descriptive, prospective study in 21 patients diagnosed with glaucoma by primary angular closing who assisted the Service of Ophthalmology of the Clinical Surgical Teaching Hospital Comandante Faustino Pérez, of Matanzas, in the period from November 2008 to January 2010, with a minimal follow-up of 3 months. We analyzed the clinical-epidemiologic variables, the ophthalmologic examination and the time the treatment began. The collected data were processed in Microsoft Excel.
Results: The predominant age group was the 60-69 years-old one. There was a control of the ocular pressure in 85,7 % of the patients, and the 76,2 % had good visual acuity, in correspondence with a precocious beginning of the medical-surgical treatment. There were invaliding sequels in a low percent of the cases, corresponding to those patients who began the medical-surgery treatment after 48 hours.
Conclusions: The on-time diagnosis and immediate treatment of the disease leads to the adequate control of the intraocular pressure and, in many cases, avoids an irreversible visual lost.