DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20163345

A case of bilateral acute angle closure attack with some unusual features

Bhanu Devi, Rajiv Kr Das, Supantha Bhattacharjee

Abstract


A 45 year old male presented with sudden severe pain, redness and marked diminution of vision in both eyes along with corneal oedema, pigmented KPs and raised IOP. After treatment with hyper osmotic agents, IOP came down and cornea became clear. Anterior chamber was shallow bilaterally with ring synechia. Gonioscopy revealed peripheral anterior synechiae in left eye and occludable angle in the right eye. Fundus examination was within normal limit. The patient was treated with antiglaucoma medications and steroid. Trabeculectomy was done in left eye with laser PI in the fellow eye. IOP came down within normal limits on subsequent visits with residual iris sphincter damage.


Keywords


Bilateral angle closure attack, Pigmented kp, Bilateral uveitis

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References


Hillman JS. Acute closed-angle glaucoma: an investigation into the effect of delay in treatment. Br J Ophthalmol. 1979;63(12):817-21.

Ooi YH, Douglas J. Rhee Inflammatory Glaucoma in Albert, miller, Azar, Blodi eds. Albert & Jakobiec Principles and Practice of Ophthalmology. 3rd ed, Second volume. Saunders Elsivier. USA. 2008; 2607.

JSM Lai, DTL Liu, DSC Lam. Epidemiology of acute primary angle closure glaucoma in the Hong Kong Chinese population: prospective study. HKMJ. 2001;7:118-23.

Olivia L. Lee Idiopathic and other anterior uveitis syndromes; In Myron Yanoff, Jay S. Duker ophthalmology-4th ed Saunders Elsivier; USA. 2014;770-3.

Maiya AS, Shenoy S. A Clinical Study of Anterior Uveitis in a Rural Hospital. IOSR-JDMS. 2014;13(3):55-9.

Rathinam SR, Namperumalswamy P. Global variation and pattern changes in epidemiology of uveitis. Indian J Ophthalmol. 2007;55(3):173-83.

Harstad HK, Ringvold A. Glaucomatocyclitic crises (Posner-Schlossman syndrome). A case report. Acta Ophthalmol (Copenh). 1986;64:146-51.

Brad Bowling- Kanski’s Clinical Ophthalmology A systematic approach- 8th ed. Elsivier. USA. 2016;363-4.