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Abstract #6780 Published in IGR 4-1
Syndromes: glaucoma pigmentatum primarium-pigmented glaucoma
Vojnikovic B; Njiric S; Bojic L; Kovacevic, DCollegium Antropologicum 2001; 25 Suppl: 127-130
In this study, pigmented glaucoma was diagnosed in 29 of 4350 patients suffering from glaucoma. During clinical analysis of these cases, most attention was paid to Krukenberg's spindle with emphasis on the process and reason for its development. In all cases of Krukenberg's spindle, moderate myopia and myopic astigmatism were present. The main axis of the spindle lies in the principal meridian of corneal astigmatism. The principal meridian of the anterior cornea surface corresponds to the axis of the principal meridian on the posterior corneal surface. A higher degree of astigmatism is more pronounced in Krukenberg's spindle. This corresponds to a number of cases in which the spindle is hardly recognizable in the astigmatism, of only ± 0.25 to ± 0.50 Dcyl. The axis of the meridian corresponds to direct astigmatism (from 110 to 70°). The authors conclude that there is no pigmented Krukenberg's spindle without myopic astigmatism. For this reason and because of the inheritance factor, this type of glaucoma should be considered primary glaucoma and a separate clinical entity.
Dr. B. Vojnikovic, Department of Ophthalmology, Clinical Hospital Center, Rijeka, Croatia
Classification:
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)
