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Abstract #9242 Published in IGR 5-2
Angle-closure glaucoma in teenagers
Badlani VK; Quinones R; Wilensky JT; Hawkins A; Edward DPJournal of Glaucoma 2003; 12: 198-203
OBJECTIVE: To report the occurrence of angle-closure glaucoma in two teenagers. DESIGN: Observational case reports, review of literature. METHODS: Review of case histories, examinations, biometries, visual fields, and ultrasound biomicroscopy findings in two teenagers with angle-closure glaucoma. MAIN OUTCOME MEASURES: Intraocular pressure (IOP), gonioscopy, Humphrey 24-2 visual field (SITA Standard), and ultrasound biomicroscopy. RESULTS: The first case involved a 15-year-old white male who presented with an IOP of 60 mmHg in the right eye and 24 mmHg in the left eye and 360-degree appositional closure in both eyes. Ultrasound biomicroscopy revealed prominent bilateral ciliary pigment epithelial cysts pushing the iris anteriorly towards the angle. The second case involved a 14-year-old white male with a strong family history of primary angle-closure glaucoma. The patient had pupillary block and an IOP of 24 mmHg in the right eye and 40 mmHg in the left eye on routine eye examination. Gonioscopy and ultrasound biomicroscopy revealed appositional closure of the angle in all four quadrants bilaterally. CONCLUSIONS: Primary angle-closure glaucoma is uncommon in younger individuals. Therefore, the finding of angle-closure glaucoma in a young individual should alert the physician to the possibility of a secondary cause of angle closure, such as iris pigment epithelial cysts. In addition, special attention to family history is important as the configuration of an occludable anterior chamber angle may, in some instances, be inherited.
Dr. D.P. Edward, Department of Ophthalmology, L 217, 1855 West Taylor (M/C 648), Chicago, IL 60612, USA. deepedwa@uic.edu
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
