advertisement
Abstract #11695 Published in IGR 7-1
Subtle clinical signs of pigment dispersion and pigmentary glaucoma: Case reports and review
Besada E; Reynolds SClinical and Refractive Optometry 2004; 15: 306-316
PURPOSE: To underscore the significance of recognizing subtle clinical signs that may contribute to the appropriate diagnosis and specific targeted management of pigment dispersion and pigmentary glaucoma. METHODS: Case 1. A White-American patient presenting with pigmented deposits at the equatorial lens surface led to recognition of additional signs of pigment dispersion. Case 2. An African-American patient presented with patent pigmented deposits at the equatorial lens surface, subtle signs of pigment dispersion without iris trans-illumination, and unilateral glaucomatous optic neuropathy. Case 3. A Hispanic-American patient, previously diagnosed with primary open angle glaucoma, presented with patent pigmented deposits at the lens equator and subtle signs of pigment dispersion without iris trans-illumination. The diagnosis was changed to pigmentary glaucoma. CONCLUSIONS: The clinician must be aware of and look for subtle emerging signs that may lead to glaucomatous optic neuropathy in pigment dispersion. A precise diagnosis may facilitate the appropriate targeted management of such cases.
Dr. E. Besada, 1750 N.E. 167th Street, North Miami Beach, FL 33162, USA
Classification:
9.4.3.1 Pigmentary glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.3 Glaucomas associated with disorders of the iris and ciliary body)
