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A 80-year-old woman presented with edema in her right eyelid with ipsilateral facial pain. She was ophthalmologically intact except for nuclear cataract. Her complaints subsided one week later. Four weeks later, she had another episode of right ocular pain and eyelid edema. The intraocular pressure (IOP) was 38mmHg. The fight eye was diagnosed as closed angle glaucoma. Laser iridotomy resulted in still elevated IOP, chemosis and ocular pain. Funduscopy showed choroidal detachment. Ultrasonography and computed tomography showed thickening of the posterior coat of the right eye. Magnetic resonance imaging showed normal posterior sclera and thickening of the choroid and Tenon's capsule. The ultrasonographically observed thickening of the posterior coat thus appeared to be mainly located in the choroid. Spontaneous resolution set in one week after the glaucomatous attack.LA: Japanese
N. Yamamoto, Department of Ophthalmology, Gamagori City Hospital, 1-1 Mukaida Hirata-cho, Gamagori-shi, Aichi-ken 443-0004; Japan
9.3.10 Other (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)