Acute Angle-closure Glaucoma
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TCM Diagnosis for Angle-closure Glaucoma

Key points for diagnosis
1. Clinical Symptoms
Severe headache, distending pain of eye, iridization and visual deterioration or only light sensation remaining in severe cases.

2. Clinical Physical Signs
(1) The increase of the intraocular pressure  Often above 6.65kPa (50mmHg) or over 13.3kPa (100 mmHg) in some serious cases.

(2) Platycoria   Moderate in degree and veridical or oval in shape, disappearance of photoreaction and visible dark-green reflection in the pupillary zone. It is for this reason that the case is called"Lufeng Neizhang " (green glaucoma) in traditional Chinese medicine.

(3) Ocular hyperemia  Mixed congestion of conjunctiva accompanied sometimes by chemosis and palpebral edema in some serious cases.

(4) Corneal edema   Edema of corneal epithelium in the fog-like or ground-glass-like form.

(5) Obstruction in the anterior chamber and the angle  The anterior chamber becomes shallow and the angle is blocked.

(6) Opacity of the aqueous humor  The aqueous humor is cloudy even with the flocculent exudate.

(7) Iris Lesion  The iris is of segmental strophy and posterior synechia, and fine dust-like pigmentation is often found behind the cornea and in front of the iris.

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Dfferentiation", and then "Suit the Remedy to the Case". In order to gain a more definite and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, you're welcome to contact us.


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