Managing Pigment Dispersion Glaucoma Postbilateral ICL Implantation in High Myopia: A Case Report on the Crucial Role of Gonioscopy in Correcting a Misdiagnosis.

Autor: Ramesh, Prasanna V., Parthasarathi, Sathyan, Azad, Ashik, Devadas, Aji K., Ragolu, Tejaswi, Ramesh, Shruthy V., Ramesh, Meena K., Rajasekaran, Ramesh
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Zdroj: Journal of Current Glaucoma Practice; Jan-Mar2024, Vol. 18 Issue 1, p31-36, 6p
Abstrakt: Secondary open-angle glaucoma (SOAG) is a rare yet consequential complication following implantable collamer lens (ICL), also known as a phakic intraocular lens insertion, particularly in high myopia patients. This case report emphasizes the importance of recognizing SOAG and details the diagnostic complexities, reevaluation procedures, and successful long-term management of a 24-year-old bilateral high myopia (-7.00 D) patient who initially received an erroneous diagnosis of secondary angle-closure glaucoma (SACG) after ICL insertion at an external medical facility. Persistent visual issues prompted the patient to seek a second opinion, leading to a comprehensive reevaluation that eventually unveiled pigment dispersion syndrome (PDS) as the underlying cause, subsequently resulting in SOAG. This case not only highlights the diagnostic challenges but also elucidates the re-evaluation process and effective 5-year management strategies employed to restore the patient's visual health and quality of life. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index