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Related Experiment Videos

[Advanced closed-angle glaucoma with intercalary staphylomas].

I Petria1, C Grapă

  • 1Clinica Oftalmologică, Craiova.

Oftalmologia (Bucharest, Romania : 1990)
|April 1, 1991
PubMed
Summary
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This case report details a 70-year-old woman with quasiabsolute glaucoma, highlighting how closed-angle glaucoma can present with subacute crises and lead to scleral ectasias, mimicking open-angle glaucoma.

Area of Science:

  • Ophthalmology
  • Glaucoma Research

Background:

  • Presents a rare case of quasiabsolute glaucoma in a 70-year-old female.
  • Highlights a 10-year history of subacute angle-closure crises, largely neglected by the patient.

Observation:

  • Ocular examination revealed significant findings including a small anterior chamber, sectorial iridic atrophy, a mydriatic pupil, and a closed camerular angle.
  • Gonioscopy confirmed the closed-angle nature of the glaucoma.
  • Fundus examination showed optic nerve atrophy and excavation, with high cup-to-disc ratios (0.9 OD, 0.8 OS).

Findings:

  • The patient presented with quasiabsolute glaucoma and large scleral juxtalimbic ectasias in both eyes.
  • Intraocular pressure was elevated at 34.4 mmHg in the right eye and 41.4 mmHg in the left eye.

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  • Vision was significantly impaired (1/50 OD, 3/50 OS).

    • Implications:

    • This case underscores that closed-angle glaucoma can exhibit a prolonged subacute course, ultimately progressing to a quasiabsolute stage.
    • The development of large scleral ectasias, typically associated with open-angle glaucoma, can also occur in advanced closed-angle glaucoma.
    • Emphasizes the importance of recognizing atypical presentations of glaucoma and the potential for severe visual impairment even with initially neglected subacute episodes.