The pilocarpine phenylephrine provocative test (PPPT) has been described as a highly sensitive method to identify eyes suffering from or at risk of angle closure glaucoma (ACG). This paper reports on average 10 years follow-up of the outcome of cases of primary acute ACG and subacute ACG in which the management was determined by the result of the PPPT--a positive result indicating the need for ...

In all cases section was made with the von Graefe knife and one to three corneoscleral sutures were inserted. Peripheral iridectomy was performed in all except two cases where the iridectomy was complete. Alpha-chymo-trypsin (A.C.T.) 1: 5000 solution was injected through the iridectomy above and posterior to the iris below. After exactly 3 minutes the anterior chamber was irrigated with saline ...

During the course of negative provocative test for closed-angle glaucoma using pilocarpine and phenylephrine 60% of eyes develop significant reductions in outflow facility at some stage during the test. It is shown that these reductions can be explained by postulating the presence of partial-angle closure since: (1) A random sample (6) of 53 eyes showing an abnormal response subsequently had a ...

Purpose. To describe our surgical technique in the management of pseudophakic malignant glaucoma refractory to conventional treatment. Methods. Two pseudophakic eyes with malignant glaucoma underwent peripheral iridectomy, lens capsulectomy, hyaloidectomy, and anterior vitrectomy through a clear corneal incision by using a vitreous cutter. Results. Prompt resolution of malignant glaucoma was ac...

An eye with angle closure glaucoma is anatomically characterized by a short axial length, a shallow anterior chamber, a thickened lens that is situated relatively anteriorly and a small corneal diameter. These conditions may lead to the development of relative pupillary block. Pupillary block is classically managed with a peripheral iridectomy which provides a route for the aqueous to drain. Bu...

PERIPHERAL iridectomy has become an accepted method of treating closedangle glaucoma. During the last 4 years we have performed this operation on more than seventy eyes and the results have convinced us that this is one of the safest and most successful of all operations for glaucoma provided that the cases are properly selected. It is the ideal operation for early cases of closed-angle glaucom...

Twenty-four patients with spontaneous acute closed-angle glaucoma in one eye were selected for study. All 24 eyes had a peripheral iridectomy, were normotensive, and had no gonioscopically visible peripheral anterior synechiae. Of the 24 contralateral eyes 14 gave a positive response to provocative tests and had peripheral iridectomy. The remaining 10 eyes did not give positive responses to the...