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WGC-2021

Abstract #74521 Published in IGR 19-1

Asymmetric glaucoma in pseudoplateau iris syndrome

Swogger JS; Jain SG; Sawchyn AK; Fleming GP
British Medical Journal (Clinical Research Edition) Case Reports 2017; 2017:


A 39-year-old Caucasian man with bilateral narrow angles, a plateau-like iris configuration on gonioscopy and elevated intraocular pressure (IOP) presented with significant asymmetric glaucoma, left eye affected more than right. Initial management with topical medical therapy, laser iridoplasty and peripheral iridotomy in the left eye was ineffective in lowering the IOP or opening the anterior chamber angle. Ultrasound biomicroscopy demonstrated bilateral ciliary body cysts. The patient ultimately required surgical management, consisting of cataract extraction and endoscopic cyclophotocoagulation of ciliary body cysts in the left eye and trabeculectomy in the right eye, for persistent IOP control to prevent further optic nerve damage and subsequent visual field loss.

Department of Ophthalmology, Ohio State University, Columbus, Ohio, USA.

Full article

Classification:

9.3.3 Plateau iris syndrome (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)



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