{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:29:10Z","timestamp":1787758150696,"version":"build-2784847793"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:p>Blindness due to primary angle-closure glaucoma (PACG) can be reduced significantly if the ongoing angle-closure process is arrested at an early stage. Various treatments such as laser peripheral iridotomy (LPI), iridoplasty, and clear lens extraction (CLE) have been advocated as first-line therapy for primary angle-closure (PAC), PACG, and high-risk cases of primary angle-closure suspect (PACS). EAGLE study, propagated the effectiveness of CLE over LPI for the management of primary angle closure and have sparked controversy regarding the role of LPI as a first line procedure. Randomized controlled trials (RCT), systematic reviews, and meta-analyses of RCTs done on the same question provide us with a solid base for creating guidelines\/modules for our day-to-day clinical practice. A systematic review was conducted, searching several databases, including PubMed, Cochrane Library, EMBASE, and ClinicalTrials.gov, for the last 16 years (January 2005\u2013December 2021) for RCTs with data published related to primary angle-closure disease (PACD). The search strategy included the following terms: \u201cPrimary Angle Closure disease,\u201d \u201cPrimary Angle Closure Glaucoma,\u201d \u201cPrimary Angle Closure,\u201d \u201cPrimary Angle Closure Suspect,\u201d \u201cclear lens extraction,\u201d \u201claser iridotomy,\u201d \u201claser peripheral iridotomy,\u201d \u201cargon laser peripheral iridoplasty,\u201d \u201cselective laser trabeculoplasty,\u201d \u201ctrabeculectomy,\u201d \u201crandomized control trial,\u201d and \u201cmeta-analysis of randomized control trial.\u201d In this review, we will discuss recently published RCTs (within the last 16 years) for the management of PACD and their clinical implications in day-to-day 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