What is the best way to treat angle-closure glaucoma?

There are many types of glaucoma, so when treating it, we must pay attention to the symptoms. Primary glaucoma can be treated through laser surgery or surgical surgery, and we must also pay attention to a reasonable and healthy diet.

1. Primary treatment

For early cases of angle-closure glaucoma that have not yet had an attack or have only had a minor attack, simple laser surgery or surgical procedures can control the progression of the disease and reduce the chance of an acute attack.

Acute angle-closure glaucoma attacks should be treated immediately because vision loss can occur rapidly. Initial treatment of acute angle-closure glaucoma attacks is with medication: topical beta-blockers, intravenous or oral carbonic anhydrase inhibitors, and topical alpha-2

Receptor-selective adrenergic agonists. If other drug treatments do not respond well, osmotic drugs can be used (Table 100-3). Then apply 1% to 2% pilocarpine twice, about 15 minutes apart. When intraocular pressure is >40 mmHg (5.33 kPa) or 50 mmHg (6.67 kPa), miotic drugs are usually ineffective due to the hypoxic pupillary sphincter.

2. Secondary treatment

First, the primary disease should be treated, and at the same time, pupillary block and angle closure should be relieved.

For example, glaucoma secondary to cataracts requires cataract removal first. Usually, this type of glaucoma can be well controlled after the cataract is removed.

For secondary glaucoma caused by iridocyclitis, the first thing to do is to control iridocyclitis and control intraocular pressure symptomatically. If inflammation is under control, peripheral iridectomy can be performed to relieve pupillary block. If extensive anterior goniosynechiae have developed, filtering surgery such as trabeculectomy is usually necessary.

3. Diet

1. Patients should have a regular diet, arrange their meal times reasonably, and follow a good angle-closure glaucoma diet.

2. Patients should eat more easily digestible foods rich in vitamins, such as vegetables and fruits.

3. Patients should try not to eat or eat less irritating foods, such as chili peppers, raw onions, pepper, etc.

4. Properly control the amount of water you drink. Drinking too much water at one time will dilute the patient's blood, thereby causing lower blood pressure and a relatively increased production of aqueous humor, which will lead to higher intraocular pressure.