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Angle recession
Ocular Trauma
Key Points
- •Angle recession occurs in 60–85% of significant blunt trauma - it is a marker of trabecular meshwork damage, not the direct cause of glaucoma
- •Angle recession glaucoma develops in 5–20% of cases, with latency from months to over 20 years - lifelong annual IOP monitoring is mandatory
- •Gonioscopy is the gold standard for diagnosis - look for a widened ciliary body band and always compare with the fellow eye
- •Recession >180° is the strongest risk factor for glaucoma development
- •Treatments targeting the TM (miotics, SLT, MIGS) are less effective because the TM is the damaged tissue - prefer prostaglandins, trabeculectomy, or tube shunts
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17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations