“Closed angle glaucoma?”

As a Glaucoma specialist, I can honestly tell you that it would take an hour to answer your question. In short, most profess slowly, but some can develop sudden, painful vision loss, which can be permanent. And at a young age of 58, the lifetime risk of blindness is high, if you don’t have it managed carefully and closely. Please listen intently to your glaucoma doctor.

Best Regards,

David J. Pinhas, M.D.

Closed angle glaucoma must be treated urgently as it leads to rapid deterioration and blindness. Treatment includes medications, laser surgery and operations.

Acute angle closure presents as an acute attack and generally requires emergency laser treatment. Chronic angle closure develops over weeks to months or years and is treated with medication, laser or surgery by an Ophthalmologist. Both types can result in blindness if not treated in a timely fashion.

Yes it can be treated with glaucoma drops or LPI laser surgery

This is a problem with the anatomy of the front of the eye in which the lens pushes the iris forward filling the space in the area of the front of the eye which drains the continuous production of fluid so the eye pressure is normal. It is mostly in folks who are hyperopic (note the + sign on the power of your prescriptive eyeglasses or do your eyeglasses magnify an image like a magnifying glass). This can happen from being in the dark-the iris dilates and gets stuck on the drains or from some medications. When this happens, the eye pressure elevates to dangerous levels, your vision will be blurred, you may feel some nausea and a bit of eye pain and the pupil of your eye, which normal opens and closes with light and dark will be a little dilated and will not move with light.This takes place rapidly within literally a few minutes. This can be fixed by your ophthalmologist who will use a laser to make a new opening in the outside of the iris to allow the fluid to get to the drains. This is an urgent situation and needs rapid attention, so get to your ophthalmologist or at least to an ER if you suspect this is happening.