advertisement
Abstract #46946 Published in IGR 13-3
Pseudoexfoliative glaucoma in a patient with toxic optic atrophy and cupping
Aydin A; Aykan U; Cakir A; Kar T; Ersanli DTurk Oftalmoloiji Dergisi 2011; 41: 256-259
A 57-year-old man, who had developed bilateral symmetric optic atrophy and cupping due to methanol intoxication nine years ago, noticed slowly progressive visual impairment in the left eye (OS). In ophthalmic examination, visual acuity was 20/60 in the right eye (OD) and 'hand motion' in OS. Intraocular pressure was 20 in OD and 28mmHg in OS. Anterior segment biomicroscopy showed bilateral pseudoexfoliation, more intense in OS. Ophthalmoscopy revealed bilaterally deep and wide cupping with cup-to-disc ratios of 8/10 in OD and approximately 10/10 in OS. Based on these findings, the diagnosis of left pseudoexfoliative glaucoma, in addition to bilateral toxic optic atrophy and cupping, was made. Pathological optic-disc cupping may be caused by many conditions other than glaucoma. In these cases, glaucoma may aggravate the both cupping and atrophy.
A. Aydin. Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Ophthalmology, Istanbul, Turkey.
Classification:
9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
