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Uptodate Reference Title
Acute angle-closure glaucoma
Acute angle-closure glaucoma
The pupillary margin blocks the passage of aqueous from the posterior chamber to the anterior chamber (pupillary block), ballooning the iris forward (iris bombe), causing the iris root to occlude the trabecular meshwork and completely obstruct drainage of aqueous fluid from the anterior chamber (angle closure). The resulting rapid elevation of intraocular pressure requires urgent intervention to prevent permanent visual loss.