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Abstract #60555 Published in IGR 16-4
Association of Pigmentary Glaucoma and Nonsenile Nuclear Cataracts
Mosaed S; Haider A; Kim D; Zhang ZJournal of Glaucoma 2016; 25: 547-550
PURPOSE: To describe a new association between nonsenile nuclear cataracts and pigmentary glaucoma in patients with controlled intraocular pressure (IOP). DESIGN: Retrospective consecutive case series of nonsenile nuclear cataracts seen in patients with pigmentary glaucoma with controlled IOP in a single glaucoma specialist practice. Eight eyes of 7 patients with pigmentary glaucoma and visually significant cataract who underwent cataract removal were reviewed. RESULTS: Patients with pigmentary glaucoma developed rapidly progressing, nonsenile nuclear cataracts, with resulting myopic shifts between 4 and 13 D from baseline in <2 years. The patients had controlled IOP and there were no associations between medication use and cataract development. CONCLUSIONS: A new association between pigmentary glaucoma and nonsenile nuclear cataracts is described. In these patients, the IOP remains controlled and no association is seen between the cataract and medication use. The cataract is rapidly progressive and can cause a myopic shift between 4 and 13 D. Awareness of the purely nuclear cataract and its' clinical presentation can assist the clinician when approaching the patient with pigment dispersion and decreasing vision. To the best of our knowledge, this is a new association and warrants further investigation.
*Gavin Herbert Eye Institute †School of Medicine, University of California, Irvine, Irvine, CA.
Full articleClassification:
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)
9.4.4.2 Glaucomas associated with cataracts (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)
