Abstract Purpose: To report the acute onset of ocular hypertension in myopic patient with pigment dispersion syndrome. Methods: A 40-year-old male patient, suffering from unresponsive chronic open-angle glaucoma in multi drugs- therapy, underwent complete ophthalmological evaluation at our department in order to have a second opinion on his pathology. Results: Visual acuity was 20\20 in both eyes, gonioscopy showed the presence of iris pigment in the iridocorneal angle (Grade 4 Shaffer classification) and an iris anterior concavity. The intraocular pressure (IOP), in spite of the topical therapy, was 28 mmhg; the anterior chamber was normal without Tyndall phenomenon, while the retina and optic disc were normal. The patient underwent a bilateral YAG laser peripheral iridotomy and a bilateral Selective Laser Trabeculoplasty (SLT). After a two-year- follow up, the visual acuity is stable and the IOP is set on 12 mmhg in both eyes (instilling one drop of 10 daily). Conclusion: In the myopic patient the pigmentary glaucoma is a complication which has to be and often causes misdiagnoses
acute onset of ocular hypertension in myopic patient with pigment dispersion syndrome mimicking uveitis
ROMANO, Mary
2017
Abstract
Abstract Purpose: To report the acute onset of ocular hypertension in myopic patient with pigment dispersion syndrome. Methods: A 40-year-old male patient, suffering from unresponsive chronic open-angle glaucoma in multi drugs- therapy, underwent complete ophthalmological evaluation at our department in order to have a second opinion on his pathology. Results: Visual acuity was 20\20 in both eyes, gonioscopy showed the presence of iris pigment in the iridocorneal angle (Grade 4 Shaffer classification) and an iris anterior concavity. The intraocular pressure (IOP), in spite of the topical therapy, was 28 mmhg; the anterior chamber was normal without Tyndall phenomenon, while the retina and optic disc were normal. The patient underwent a bilateral YAG laser peripheral iridotomy and a bilateral Selective Laser Trabeculoplasty (SLT). After a two-year- follow up, the visual acuity is stable and the IOP is set on 12 mmhg in both eyes (instilling one drop of 10 daily). Conclusion: In the myopic patient the pigmentary glaucoma is a complication which has to be and often causes misdiagnosesI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
