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Abstract #5345 Published in IGR 1-2
A case of nanophthalmos with closed-angle glaucoma treated by sclerectomy and goniosynechialysis
Takashima Y; Lee S; Nishijima K; Yamakawa RJapanese Journal of Clinical Ophthalmology 1999; 53: 907-910
A 40-year-old female was referred to us for intraocular pressure (IOP) of 68 mmHg in either eye. Both eyes showed microcornea, shallow anterior chamber, total angle closure, uveal effusion and axial length of 14.2 mm. She was diagnosed as nanophthalmos with acute closed-angle glaucoma. Both eyes underwent laser iridotomy. Due to still elevated IOP, both eyes underwent sclerectomy in each quadrant to relieve uveal effusion, followed by goniosynechialysis, phacoemulsification-aspiration and intraocular lens implantation. After additional laser gonioplasty, the IOP was brought under control. This case illustrates the efficacy of sclerectomy and goniosynechialysis for nanophthalmos with closed-angle glaucoma.
Y. Takashima, Department of Ophthalmology, Tenri Yorozu Hospital, 200 Mishima-cho, Tenri-shi, Nara-ken 632-0015; Japan
Classification:
9.3.10 Other (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
