206 OPHTHALMOLOGY SECRETS IN COLOR
39.Describe the treatment for angle-recession glaucoma.
Eyes with secondary traumatic glaucoma have reduced conventional outflow owing to trabecular meshwork injury and may therefore shift over to primarily uveoscleral outflow. Miotics may actually
paradoxically increase the intraocular pressure, possibly by decreasing uveoscleral outflow. Laser trabeculoplasty does not have a high rate of success in this setting. Prostaglandin analogs, β-blockers, carbonic anhydrase inhibitors, cycloplegics, and filtration surgery are the most effective treatments for angle-recession glaucoma.
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