Alpha adrenergic agonist Such as Apraclonidine and Brimonidine work through the agonist effect at the alpha-2 receptors, decreasing the release of norepinephrine which in turn is required for the …show more content…
Some of the main risk factors associated with it include changes in the anatomical size of the different eye components. An anterior chamber of the eye either too small or completely crowded, an iris too thick and a short axis of the anterior chamber are some of the anatomical factors associated with the presence of a closed-angle glaucoma. At the moment, the diagnosis is made through the use of more sophisticated and objective tests that allow the identification of the closed angle such as the ultrasound biomicroscopy. The management of such patients depends on the severity of the process. The initial step include the laser peripheral iridotomy, a procedure in which a hole is created in the iris to establish a communication with the Schlemm’s canal, the maneuver can be generally performed at the office without major adverse effects. However, some side effects include rare cases of synechiae (adhesions of the iris to the lens) or increased intraocular pressure, therefore it is of utmost importance to follow up the …show more content…
Depending on where the professional practice and the resources available at the site, the physical exam should include in addition to measuring the intraocular pressure, a method to evaluate the optic nerve and retinal ganglion cells, fundoscopy whenever possible and assessment of visual fields. Any suspicious lesions found during a routine visit will ensure that the health professional refer such patients to the specialist, who will perform a much deeper evaluation of the