Which group should be closely monitored for potential PACG risk?

Patients with short axial length are particularly at risk for developing primary angle-closure glaucoma (PACG). This condition is related to the anatomical structure of the eye, where a shorter axial length can lead to a shallower anterior chamber. A shallower anterior chamber restricts the flow of aqueous humor, potentially causing increased intraocular pressure and leading to PACG.

In contrast, while patients with cataracts, ocular migraines, or those undergoing LASIK surgery may present with other ocular concerns or complications, they do not inherently share the same anatomical risk factors associated with PACG. Monitoring is crucial for those with short axial length because early detection and management can help prevent irreversible vision loss associated with PACG. Understanding the anatomical and physiological aspects of the eye is essential for recognizing which groups are at higher risk for specific ocular conditions.