Management of angle-closure glaucoma secondary to spherophakia: A report and brief review of treatment options
| Autor: | Ashish George Kuruvilla, Shilpa Elizabeth Kuruvilla |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.medical_treatment Glaucoma Intraocular lens Clear lens extraction lcsh:Ophthalmology secondary glaucoma Ophthalmology Gonioscopy medicine Angle-closure glaucoma Subluxation medicine.diagnostic_test business.industry Spherophakia Cycloplegia General Medicine Phacoemulsification medicine.disease eye diseases lcsh:RE1-994 spherophakia sense organs medicine.symptom business |
| Zdroj: | Kerala Journal of Ophthalmology, Vol 30, Iss 2, Pp 124-126 (2018) |
| ISSN: | 0976-6677 |
| Popis: | A 16-year-old girl presenting with chronic headaches had findings of high myopia, uniformly shallow anterior chambers, and spherical crystalline lenses in both eyes with elevated intraocular pressure (IOP) in the left eye. The optic discs were healthy and axial lengths were normal. Antiglaucoma medications were initiated. Inadvertent cycloplegia paradoxically aided control of pressures within 24 h. On review, gonioscopy revealed nonsynechial angle closure. Dilatation revealed no zonulodialysis or subluxation bilaterally. The edge of the lens was clearly seen. A diagnosis of bilateral spherophakia with secondary angle-closure glaucoma in the left eye was made. She underwent sequential phacoemulsification with foldable intraocular lens implantation which adequately controlled her IOPs. Identifying spherophakia when presented with high myopia, raised IOPs and shallow anterior chambers, and documenting peripheral synechiae, subluxation, and zonular weakness may prove crucial in the management of secondary angle-closure glaucoma in such cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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