What Is Aqueous Misdirection?

What is aqueous misdirection?

Aqueous misdirection refers to the condition in which there are elevation of intraocular pressure (IOP) and shallowing of the central and peripheral anterior chamber. In a word, it’s a form of glaucoma.

Mostly, it’s a complication of certain ocular surgeries and procedures, such as:

  • cataract surgery,
  • implantation of a large posterior chamber intraocular lens,
  • laser iridotomy,
  • and laser capsulotomy.

However, the condition also occurs to people with no history of these surgeries or procedures.

In addition, some studies show that the average age of people with the condition is 70 years.

As for the treatment, it usually includes:

  • intensive cycloplegic therapy,
  • aggressive aqueous suppression with β-adrenergic antagonists, α2-adrenergic agonists, and carbonic anhydrase inhibitors,
  • and shrinking of the vitreous with hyperosmotic agents.

Please consult your doctor for more information.


Keywords: aqueous misdirection.

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