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Angle Recession Glaucoma

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Angle Recession Glaucoma Overview continued...

Angle recession glaucoma appears to affect all races equally. In general, African-Americans may be at an increased risk for all types of glaucoma, particularly primary open-angle glaucoma (POAG).  

  • Because of the possible relationship of POAG with angle recession glaucoma, African-Americans theoretically may be at an increased risk of glaucoma following eye trauma.
  • Among men and women, eye trauma occurs more often to men, outnumbering women by a ratio of 4 to 1. Therefore, presumably, angle recession and angle recession glaucoma develop most frequently in men.  
  • Women appear to be at a greater risk of sustaining eye injuries at home.
  • Among children, eye injuries occur more frequently in boys than in girls.

The risk of angle recession as a person gets older has not been formally described.

  • Because the onset of symptoms is often delayed following a blunt eye injury, angle recession glaucoma is not usually diagnosed until middle to late adulthood. It may even be misidentified as POAG, since angle abnormalities may not be readily evident on examination and often appear late in the disease course. A distant or even forgotten history of eye trauma, particularly common among elderly persons, may result in the condition being overlooked.

  • Among adults, the risk of injury appears to decline steeply with advancing age. Studies of urban populations have indicated that elderly persons sustained only 1.6% of eye trauma, and, for persons older than 65 years, eye injuries were most often due to a fall.

  • Angle recession glaucoma has been described in childhood, but eye trauma generally occurs during young adulthood. The annual incidence of pediatric eye injuries has been reported at 15 per 100,000 children.

Angle Recession Glaucoma Causes

Any cause of eye trauma that does not penetrate the eye can result in angle recession glaucoma.  

The episode may be seemingly trivial and forgotten. The circumstances of the injury can be quite variable but are often due to trauma from high-speed or fast-moving blunt objects or projectiles, such as the following: 

  • Airbags

  • Fists

  • Stones

  • Balls

  • Champagne stoppers

  • Bungee cords

  • Tree branches

The most common types of blunt trauma occur as a result of the following:  

  • Sports injuries (e.g., boxing, paintball)

  • Motor vehicle accidents (e.g., airbag deployment)

  • Assaults

  • Falls

  • Military combat injuries

  • Accidents (e.g., industrial, farm, home)

  • Other (e.g., school accidents, natural disasters)
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