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April 23, 2025 28 mins
Primary angle closure disease is more common in the UK than was initially thought and it is important for optometrists to understand the condition’s stages of progression; from primary angle closure suspect (PACS), to primary angle closure (PAC) and primary angle closure glaucoma (PACG). PACG is the stage we want to avoid, where structural damage to the optic nerve and loss of visual function have occurred because of the occluded drainage angle. PACG is far more visually destructive than primary open angle glaucoma, but if we detect the signs of primary angle closure disease early, preventative measures can be implemented, such as laser peripheral iridotomy or clear lens extraction.

In this episode, Michelle Hanratty speaks to Nishani Amerasinghe, a consultant ophthalmic surgeon in the south of England, who presented Docet’s recent webinar, called “PAC, PACS, and PACS+ in Focus: A guide for optometrists”.

If you have a topic in mind that you’d like us to cover, or if you’ve got an interesting case study you’d like to share, send Docet a message on LinkedIn.

GOC-registered optometrists practising in England, Wales or Northern Ireland can gain 1 CPD point by listening to this podcast and completing the exercise on our website. This episode covers the GOC domains of Communication and Clinical Practice. Docet - dedicated to providing quality optometric education and professional development.
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