[Advanced closed-angle glaucoma with intercalary staphylomas]

The case of a 70-year-old woman displaying a quasiabsolute glaucoma with large scleral juxtalimbic ectasias at both eyes is reported. The gonioscopic examination shows a closed-angle glaucoma developing for about 10 years with subacute crises, neglected by the patient. Vision at the right eye 1/50 nc, intraocular pressure at the right eye = 34.4 mmHg vision at the left eye = 3/50 nc, intraocular pressure at the left eye = 41.4 mmHg. The ocular examination reveals a small anterior chamber, sectorial iridic atrophies, a mydriatic pupil, the camerular angle closed. The fundus of the eye shows the atrophy of the papilla and excavation with the C/D ratio 0.9 at the right eye and 0.8 at the left eye. It is pointed out that the closed-angle glaucoma may have a subacute course, leading finally to the quasiabsolute stage, with large scleral ectasias like in the open-angle glaucoma.