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A 62-year-old female was seen by the authors 11 years earlier. Corrected visual acuity was light perception right and 0.3 left. The left eye showed hyperopia of +7.5 diopters. Corneal diameter was 10.5 mm in either eye. The ocular axis length was 17.2 mm right and 16.8 mm left. The left eye had developed acute glaucoma following subluxation of the lens seven years earlier, which was controlled by laser iridotomy. The left eye had undergone cataract surgery with intraocular lens implantation two years earlier. The left eye had developed elevated IOP 11 months earlier which, was controlled by instillation of dorzolamide. Three months after dorzolamide was replaced by topical latanoprost, acute glaucoma developed due to pupil block. Laser iridotomy followed by dorzolamide instillation brought the IOP under control. This case illustrates that topical latanoprost may induce acute glaucoma in a nanophthalmic eye with extensive angle closure. LA: Japanese
Dr Y. Watanabe, Tanifuji Eye Clinic, 2-2-38 Zenkunen, Morioka-shi, Iwate-ken 020-0127, Japan
11.4 Prostaglandins (Part of: 11 Medical treatment)