Patient's question:
Headache, eye strain, blurred vision, bloodshot eyes, diagnosed around April 10th, sudden angle-closure glaucoma on May 1st. How should it be treated now? Are there several treatment options?Doctor's answer:
Hello, angle-closure glaucoma is caused by peripheral iris obstruction of the trabecular meshwork or adhesion, leading to obstruction of aqueous humor outflow and resulting in elevated intraocular pressure. It is characterized by symptoms such as headache, eye pain, photophobia with tearing, nausea, and dry heaving. The basic treatment principle is surgery. Preoperatively, medication is used to constrict the pupils to open the anterior chamber angle and control intraocular pressure. After the intraocular pressure is reduced and the inflammatory response is controlled, surgical treatment is performed. Pilocarpine (Zhenrui) is used to constrict the pupils, acetazolamide is taken orally, and 20% mannitol is administered intravenously to lower intraocular pressure.