EyeRounds Online Atlas of Ophthalmology

Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry

*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Category: Glaucoma / Iris

Secondary glaucoma simulating acute primary narrow angle glaucoma

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.

Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.