Veselovska N.M.^1,2, Zherebko I.B.^1,2
1Kyiv Medical University of UAFM, Kyiv, Ukraine
²Kyiv City Ophthalmologic Center, Kyiv City Clinical Hospital no. 1, Kyiv, Ukraine

Summary. The paper deals with the problem of increasing the efficiency of vision loss prevention in patients with angle-closure glaucoma. The data of peculiarities of the epidemiology, pathogenesis, diagnosis and treatment of severe pathology of the eye – an acute attack of angle-closure glaucoma are presented. According to the analysis of clinical experience and some of the literature substantiated the existence of risk groups of this disease developing, presents some effective methods of detecting them, particularly among patients with hyperopic refraction. It was presented an effective scheme of the hallmarks of an acute attack of glaucoma, simplifying the differential diagnosis to avoid the medical errors. A systematic list with well known recommendations of treatment measures was presented. The material should help ophthalmologists-beginners and family practice physicians in the proper diagnosis and to make the correct recommendation to prevent the recurrent attacks of high intraocular pressure, considering that the timing of medical events is very important for the future prospects of visual function.

Keywords: angle-closure glaucoma, acute attack, hyperopia, risk factors, treatment.

REFERENCES
1. Akopyan V. S. Close-angle glaucoma. The modern interpretation of the problem. Pole zreniya [Visual field]. 2011; (5): 24–28 (in Russian).
2. Volkov V. V. About the indications for surgical treatment of glaucoma. Glaucoma (diagnosis, clinical features and treatment). Saint Petersburg, 1988, pp. 66–70 (in Russian).
3. Degtyareva L. N. Application transpalpebral tonometry intraocular pressure in general practice. Rossiyskiy semeynyy vrach [Russian family doctor]. 2005; (3): 43–45 (in Russian).
4. Degtyareva L. N., Zakhlevnaya G. N. Emergency eye care in general practice. Saint Petersburg, North-Western State Medical University named after I. I. Mechnikov, 2013, 21 p. (in Russian).
5. Lebekhov P. I. Emergency first care for diseases and eye damage. Moscow, Meditsina, 1988, 144 p. (in Russian).
6. Moshetova L. K., Nesterova A. P., Yegorova U. A. Clinical recommendation. Ophthalmology. Moscow, GEOTAR-Media, 2007, 256 p. (in Russian).
7. Chan R. Y., Smith J., Richardson K. Anterior segment configuration correlated with Shaffer’s grading of anterior chamber angle. Archives of Ophthalmology. 1981; (99): 104–107.
8. Johnson G. J., Foster P. J. Can we prevent angle-closure glaucoma? Eye. 2005; (19): 1119–1124.
9. Hollows F. C., Graham P. A. Intraocular pressure, glaucoma, and glaucoma suspects in a defined population. British Journal of Ophthalmology. 1966; (50): 570–586.
10. Hyams S. W., Friedman Z., Neumann E. Elevated intraocular pressure in the prone position. A new provocative test for angle-closure glaucoma. American Journal of Ophthalmology. 1968; (66): 661–672.
11. Lee D. A., Brubaker R. F., Ilstrup D. M. Anterior chamber dimensions in patients with narrow angles and angle-closure glaucoma. Archives of Ophthalmology. 1984; (102): 46–50.
12. Oh Y. G., Minelli S., Spaeth G. L., Steinman W. C. The anterior chamber angle is different in different racial groups: a gonioscopic study. Eye. 1994; (8): 104–108.
13. Van Herick W., Shaffer R. N., Schwartz A. Estimation of width of angle of anterior chamber. Incidence and significance of the narrow angle. American Journal of Ophthalmology. 1969; (68): 626–629.
14. Van Rens G. H., Arkell S. M., Charlton W., Doesburg W. Primary angle-closure glaucoma among Alaskan Eskimos. Documenta Ophthalmologica. 1988; (70): 265–276.