Acute Angle-Closure Glaucoma (cont.)
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Acute Angle-Closure Glaucoma Medical Treatment
There is no curative medical treatment for acute angle-closure glaucoma. An ophthalmologist must treat angle-closure glaucoma with either laser therapy or incisional surgical therapy (see Acute Angle-Closure Glaucoma Surgical Treatment). The use of eyedrops, oral medications (osmotic agents such as glycerol or carbonic anhydrase inhibitors such as Diamox [acetazolamide]), or intravenous medication (mannitol, an osmotic drug) are temporizing measures designed to bring the pressure down prior to surgical therapy.
Medicines that are used for acute angle-closure glaucoma prepare one to undergo either a laser iridotomy or a surgical iridotomy. They come in the form of medicated eyedrops (see How to Instill Your Eyedrops).
Prior to surgery, the ophthalmologist prescribes medicines to reduce the pressure inside the eye and to clear up the cloudiness of the cornea that occurs during an acute attack of angle-closure glaucoma.
In acute angle-closure glaucoma, several drugs are used simultaneously to accelerate and maximize their pressure-lowering effects. The drugs lower IOP by increasing the outflow of the fluid (aqueous humor) from the eye or by decreasing the production of fluid in the eye.
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