Prin Rojanapongpun, MD

Based on the consensus statement on surgery for open-angle glaucoma by the World Glaucoma Association, trabeculectomy is the incisional procedure of choice in the previously unoperated eye.

Closed-angle glaucoma is a potentially vision-threatening condition that is further complicated by its subtle and difficult clinical presentation. Closed-angle glaucoma is a more severe form of glaucoma because it causes blindness in more patients than does open-angle glaucoma. Chronic closed-angle glaucoma is usually asymptomatic and often missed because accurate gonioscopy is not routinely performed. Effective disease management is crucial to avoid additional damage and to ensure the long-term viability of the patient’s vision.