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Asymmetric glaucoma in pseudoplateau iris syndrome
John S Swogger1, Shelly G Jain1, Andrea K Sawchyn1
1Department of Ophthalmology, Ohio State University, Columbus, Ohio, USA.
BMJ Case Reports
|October 6, 2017
Summary
This case study highlights a patient with complex glaucoma due to ciliary body cysts. Surgical intervention was necessary for effective intraocular pressure control and vision preservation.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Anterior Segment Surgery
Background:
- A 39-year-old male presented with bilateral narrow angles and asymmetric glaucoma.
- Elevated intraocular pressure (IOP) and plateau iris configuration were noted.
- Initial medical and laser treatments failed to manage the condition.
Observation:
- Ultrasound biomicroscopy revealed bilateral ciliary body cysts.
- The left eye was more severely affected, with persistent high IOP.
- Anterior chamber angles remained unresponsive to non-surgical interventions.
Findings:
- Surgical management was ultimately required for IOP control.
- The patient underwent cataract extraction and endoscopic cyclophotocoagulation for ciliary body cysts in the left eye.
- A trabeculectomy was performed on the right eye.
Implications:
- Ciliary body cysts can cause significant secondary glaucoma.
- Combined surgical approaches may be necessary for refractory cases.
- Effective IOP management is crucial to prevent optic nerve damage and visual field loss.
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