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A case of angle closure glaucoma caused by plateau iris and adie's pupil
Keisuke Kawana1, Fumiki Okamoto, Harumi Nose
1Department of Ophthalmology, University of Tsukuba, Ibaraki, Japan. kawana@sky.plala.or.jp
Purpose:
To describe a case of plateau iris associated with bilateral Adie's pupil.
Design:
Interventional case report.
Methods:
A 54-year-old woman presented with pain in her right eye and headache. Intraocular pressure was 34 mm Hg in the right eye. Light reflex was defective bilaterally.
Results:
Ultrasound biomicroscopic imaging revealed normal anterior chamber depth and narrow angle. The ciliary processes were situated anteriorly. The eyes showed supersensitivity to 0.125% pilocarpine. The patient was diagnosed as having bilateral angle-closure glaucoma induced by Adie's pupil and plateau iris.
Conclusion:
Mild pupillary dilation caused by Adie's pupil may have played a role in the development of angle closure in the plateau iris configuration of our patient.