EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Glaucoma
Diagnosis: secondary glaucoma simulating acute primary narrow angle glaucoma

secondary glaucoma simulating acute primary narrow angle glaucoma

Image Comments:

The patient presented with an acute rise in intraocular pressure with a groundglass edema of the cornea.Slit-lamp examination of the anterior chamber was inadequate because of the corneal edema. The patient was given oral glycerin. The cornea cleared enough to proide a fair view with the slit-lamp. The anterior chamber was shallow from an iris bombe' that had resulted from seclusio pupillae. The pupil margin was bound to the anterior lens capsule by 360 degrees of posterior synechiae. There was rubeosis iridis. There was a suggestion of iridoschisis involving some of the iris structure in the inferior temporal quadrant of the iris.The diagnosis was secondary glaucoma simulating acute primary narrow angle glaucoma.

secondary glaucoma simulating acute primary narrow angle glaucoma


secondary glaucoma simulating acute primary narrow angle glaucoma


secondary glaucoma simulating acute primary narrow angle glaucoma


 

 

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