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Updated: Jan 19, 2026
01:28
Angle Closure Glaucoma: Treatment
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Panscleritis masquerading as an attack of primary acute angle closure glaucoma
Hafsa Bashir1, Uma Sridhar1, Shahana Mazumdar1
1Department of Ophthalmology, ICARE Eye Hospital & Postgraduate Institute, Noida, India.
GMS Ophthalmology Cases
|September 19, 2019
Summary
Panscleritis can mimic primary acute angle closure glaucoma, a critical distinction for effective treatment. Early diagnosis of this secondary glaucoma is vital to avoid mismanagement and potential worsening of the condition.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Scleritis Studies
Background:
- Acute angle closure glaucoma (AACG) is an ophthalmic emergency characterized by sudden intraocular pressure (IOP) elevation.
- Primary AACG typically presents with specific clinical signs and requires prompt intervention.
Observation:
- A 50-year-old female presented with symptoms suggestive of primary AACG, including severe eye pain, redness, shallow anterior chamber, and elevated IOP.
- Further examination revealed signs of panscleritis, such as chemosis, lid edema, scleral tenderness, choroidal folds, and ciliochoroidal effusion on ultrasound biomicroscopy.
Findings:
- The patient was diagnosed with secondary angle closure glaucoma caused by panscleritis.
- Ultrasound revealed increased ocular coat thickness and subtenon fluid, consistent with panscleritis.
Implications:
- Panscleritis can present atypically, mimicking primary AACG, highlighting the need for thorough diagnostic evaluation.
- Accurate differentiation between primary AACG and secondary glaucoma due to panscleritis is crucial as treatments differ significantly and misdiagnosis can lead to adverse outcomes.
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