Secondary glaucoma associated with angle recession is seen in –
**Question:** Secondary glaucoma associated with angle recession is seen in -
A. Primary angle-closure glaucoma
B. Secondary angle-closure glaucoma
C. Open-angle glaucoma
D. Neovascular glaucoma
**Core Concept:**
Angle recession is a condition where the anterior chamber angle becomes narrower due to the descent of the iris root from the ciliary body. This can lead to an increased risk of developing glaucoma, as the narrow angle impairs the outflow of aqueous humor, causing intraocular pressure to rise and potentially damaging the optic nerve.
**Why the Correct Answer is Right:**
Secondary angle-closure glaucoma (option B) is the correct answer because it is associated with angle recession. In this type of glaucoma, the narrowing of the anterior chamber angle is caused by extrinsic factors, such as inflammation, injury, or tumor. The increased intraocular pressure can lead to optic nerve damage and visual loss.
**Why Each Wrong Option is Incorrect:**
1. Primary angle-closure glaucoma (option A) is a different condition where the angle is narrowed due to intrinsic factors, such as changes in the shape or volume of the eye or the iris. It is not associated with angle recession.
2. Open-angle glaucoma (option C) does not involve angle recession and is characterized by an open angle between the iris and cornea, which allows proper aqueous humor outflow and prevents intraocular pressure elevation.
3. Neovascular glaucoma (option D) is a type of glaucoma caused by abnormal blood vessel growth (neovascularization) within the eye, which can lead to increased intraocular pressure and optic nerve damage. Neovascular glaucoma is not directly associated with angle recession.
**Clinical Pearl:**
Understanding the distinction between primary and secondary angle-closure glaucoma is crucial in clinical practice, as they require different diagnostic approaches and treatment strategies. Angle recession should prompt an evaluation for secondary angle-closure glaucoma, as it increases the risk of developing this potentially sight-threatening condition.