Primary angle-closure glaucoma (PACG) is a prevalent clinical condition. In 2019, the Glaucoma Group of Ophthalmology Branch of Chinese Medical Association released the consensus opinions on the diagnosis and treatment of PACG, providing crucial guidance for clinical practice. Since significant new research on PACG has emerged over the past five years, both the Glaucoma Group of Ophthalmology Branch of Chinese Medical Association and the Glaucoma Group of Chinese Ophthalmologist Association have collaborated to conduct extensive evidence-based discussions to attain an updated consensus on the classification, diagnostic approaches, and treatment principles for PACG in China, which may serve as a reference for clinical practitioners.