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Adie's tonic pupil-induced angle-closure glaucoma.

Igal Leibovitch1, Shimon Kurtz, Yehoshua Almog

  • 1Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicien, Tel-Aviv University, Tel-Aviv, Israel. lleibo@bezeqint.net

Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
|March 20, 2002
PubMed
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Adie's tonic pupil can trigger intermittent angle-closure glaucoma attacks. This rare condition requires consideration in patients with tonic pupils experiencing blurred vision or eye pain, prompting prompt intraocular pressure management.

Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology

Background:

  • Adie's tonic pupil is a benign condition affecting the pupil.
  • Angle-closure glaucoma is a serious condition characterized by elevated intraocular pressure.

Observation:

  • A 52-year-old woman with Adie's tonic pupil experienced intermittent blurred vision.
  • High intraocular pressure (70 mm Hg) and 360-degree angle closure were detected.

Findings:

  • This case represents the first documented instance of intermittent angle-closure glaucoma induced by Adie's tonic pupil.
  • Medical management successfully reduced intraocular pressure, followed by laser iridotomy.

Implications:

  • Ophthalmologists should consider angle-closure glaucoma in patients diagnosed with Adie's tonic pupil.

Related Experiment Videos

  • Prompt diagnosis and treatment are crucial for patients with tonic pupils presenting with visual disturbances or ocular pain to prevent vision loss.