Fig. 11.1

Gonioscopy photograph of anglerecession glaucoma.

increase in IOP owing, it is thought, to a reduction in uveoscleral outflow.
Cycloplegic agents have been reported to reduce IOP and their trial could be
considered when a conventional approach has failed.

Surgery Where medical treatment has failed, surgery may be considered. Generally speaking, argon laser trabeculo

plasy is not particularly effective in anglerecesskin glaucoma, especially where the recession is greater than 180°. Filtration procedures such as trabeculectomy have had some success, but less than that in primary open-angle glaucoma. The use of antimetabolites may improve the outcome after trabeculectomy.

Angle recession and glaucoma