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Angle-closure glaucoma in teenagers.

Vandana K Badlani1, Richard Quinones, Jacob T Wilensky

  • 1Department of Ophthalmology and Visual Sciences, 1855 West Taylor, Chicago, IL, USA.

Journal of Glaucoma
|June 5, 2003
PubMed
Summary
This summary is machine-generated.

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Angle-closure glaucoma, rare in teenagers, can be caused by secondary factors like iris pigment epithelial cysts. Family history is crucial for identifying inherited risk factors for this condition.

Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Pediatric Ophthalmology

Background:

  • Primary angle-closure glaucoma (PACG) is typically diagnosed in older adults.
  • PACG in adolescents is uncommon, warranting investigation into potential secondary causes.

Observation:

  • Two teenage males presented with angle-closure glaucoma.
  • Case 1: Bilateral ciliary pigment epithelial cysts caused anterior iris displacement and angle closure.
  • Case 2: A strong family history of PACG was noted, with pupillary block and bilateral angle closure.

Findings:

  • Ultrasound biomicroscopy identified ciliary pigment epithelial cysts as a cause of angle closure in one case.
  • Genetic predisposition and family history are significant factors in angle-closure glaucoma.

Related Experiment Videos

  • Both cases demonstrated appositional angle closure, confirmed by gonioscopy and ultrasound biomicroscopy.

    • Implications:

    • The presence of angle-closure glaucoma in young individuals necessitates consideration of secondary causes.
    • Early detection and management of angle-closure glaucoma in adolescents are vital.
    • Genetic counseling and family screening may be beneficial for individuals with a history of angle-closure glaucoma.