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Syndroma: glaucoma pigmentatum primarium--pigmented glaucoma
B Vojniković1, S Njirić, L Bojić
1Department of Ophthalmology, Clinical Hospital Center, Rijeka, Croatia.
Collegium Antropologicum
|January 31, 2002
Summary
Pigmented glaucoma, associated with Krukenberg spindle, consistently appears with myopic astigmatism. This finding suggests classifying this glaucoma type as primary and distinct due to its unique characteristics and inheritance.
Area of Science:
- Ophthalmology
- Genetics
Background:
- Pigmented glaucoma is a subtype of glaucoma.
- Krukenberg spindle is a clinical sign observed in certain glaucoma cases.
Purpose of the Study:
- To investigate the relationship between Krukenberg spindle and refractive errors in pigmented glaucoma.
- To determine if pigmented glaucoma with Krukenberg spindle should be considered a distinct clinical entity.
Main Methods:
- Clinical analysis of 29 patients diagnosed with pigmented glaucoma.
- Focus on the presence and characteristics of Krukenberg spindle.
- Correlation analysis between Krukenberg spindle and astigmatism severity and axis.
Main Results:
- Krukenberg spindle was observed in all 29 pigmented glaucoma patients.
- Moderate myopia and myopic astigmatism were present in all cases.
- A direct correlation was found between the degree of astigmatism and the prominence of the Krukenberg spindle.
- The spindle's axis aligned with the principal meridian of corneal astigmatism.
Conclusions:
- Pigmented Krukenberg spindle is invariably associated with myopic astigmatism.
- The consistent presence of myopic astigmatism and a potential inheritance factor support classifying this condition as a primary glaucoma and a separate clinical entity.