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Abstract #6769 Published in IGR 4-1

Adie's tonic pupil-induced angle-closure glaucoma

Leibovitch I; Kurtz S; Almog Y
Ophthalmologica 2002; 216: 71-72


A 52-year-old woman was diagnosed as having Adie's tonic pupil in her right eye. She had reported a few episodes of blurring of vision in her right eye in the previous few months. At a routine follow-up visit, right intraocular pressure (IOP) was 70 mmHg and on gonioscopy the angle was closed 360°. Medical treatment resulted in IOP reduction and laser iridotomy was then performed. To the authors' knowledge, this is the first description of intermittent angle-closure glaucoma attacks induced by a tonic pupil. The possibility of angle-closure glaucoma should be considered in patients with a tonic pupil, especially with symptoms of blurred vision or ocular pain.

Dr. I. Leibovitch, Department of Ophthalmology, Tel-Aviv Medical Center, 6 Weitzman Street, Tel-Aviv 64239, Israel. lleibo@bezeqint.net


Classification:

9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)



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