Journal of Clinical and Experimental Ophthalmology
Open Access

Abstract

Angle Closure Glaucoma: Pathogenesis and Evaluation. A Review

Antonio Maria Fea, Lorella Bertaina, Giulia Consolandi, Dario Damato, Umberto Lorenzi and Federico M Grignolo

Primary open angle glaucoma (PACG) is a major cause of blindness especially in Asia. The pathogenesis of this condition has been widely investigated. Traditionally gonioscopy is the method of choice for the esamination of patients considered to be at risk for angle closure, but it is a rather invasive procedure and it is reported to be primarily used by glaucoma specialists. Recently newer ultrasound and optical methods for the evaluation of the anterior chamber angle have been introduced in the clinical practice, with distinct advantages and disadvantages both compared to each other and to gonioscopy. This review will address the pathogenesis of PACG, the use of gonioscopy and will evaluate the newer methods of angle examination.