Glaucome primaire à angle fermé : un examen métahistorique complet – Partie 2
DOI:
https://doi.org/10.65636/cjo.v88i2.6925Keywords:
glaucome primaire à angle fermé, gonioscopie, tomographie par cohérence optique du segment antérieur, bloc pupillaire, iris plateau, continuum angle fermé, iridotomie périphérique au laser, extraction de la cataracteAbstract
Le glaucome primaire à angle fermé, bien qu’il soit moins commun que le glaucome primaire à angle ouvert, présente un risque 4 à 5 fois plus élevé de morbidité visuelle grave. L’identification des personnes présentant un risque élevé de maladie permet une intervention proactive plutôt que réactive, ce qui contribue à atténuer la possibilité de conséquences potentiellement graves. Elle est facilitée par une anamnèse minutieuse, un examen clinique et une imagerie auxiliaire, tandis que la prise en charge est un paradigme en évolution, éclairé par un certain nombre de recherches relativement récentes, qui peut impliquer des médicaments, des traitements au laser, une intervention chirurgicale ou une combinaison de ces éléments. Cette série d’articles, qui s’appuiera sur des documents pertinents évalués par les pairs, tentera de fournir une synthèse et un synopsis complets, mais ciblés du diagnostic et de la prise en charge actuels du glaucome primaire à angle fermé. Cette section portera sur les modalités d’imagerie auxiliaire, y compris la tomographie par cohérence optique du segment antérieur et les paramètres quantitatifs du segment antérieur.
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