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Abstract #5715 Published in IGR 2-1
A case of angle-closure glaucoma with largely fluctuating intraocular pressure
Katsumura K; Tokuoka S; Shima T; Kida T; Azuma IJapanese Journal of Clinical Ophthalmology 1999; 53:1985-1989
A 52-year-old woman was diagnosed with angle-closure glaucoma due to an intumescent clear lens in her right eye. The elevated intraocular pressure (IOP) persisted after laser iridotomy and laser gonioplasty. Despite additional core, vitrectomy and goniosynechialysis resulted, and IOP fluctuated greatly. The affected eye underwent lens extraction and intraocular lens (IOL) implantation for cataract nine years after the initial diagnosis. An in-the-bag fixated IOL was positioned anteriorly, resulting in a shallow anterior chamber, formation of peripheral anterior synechia (PAS), and marked IOP fluctuation. The anterior shift of the IOL may be related to either the presence of anterior vitreous or hyperplasia of ciliary processes. LA: <#>
Dr. K. Katsumura, Department of Ophthalmology, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki-shi, Osaka 569-8686, Japan
Classification:
9.3 Primary angle closure glaucomas (Part of: 9 Clinical forms of glaucomas)
