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Related Experiment Videos

Primary angle closure glaucoma in a myopic kinship.

J C Hagan, C M Lederer

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |March 1, 1985
    PubMed
    Summary

    High myopia can occur with primary angle closure glaucoma, challenging typical assumptions. Laser iridectomy proved effective in treating these rare myopic glaucoma cases.

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    Area of Science:

    • Ophthalmology
    • Glaucoma Research
    • Myopia Studies

    Background:

    • Primary angle closure glaucoma (PACG) is typically associated with hyperopia.
    • Myopia is generally considered protective against PACG due to anatomical differences.
    • This study investigates rare cases of PACG in highly myopic individuals.

    Observation:

    • Three related individuals with high myopia and PACG were identified.
    • The myopia was confirmed as true myopia, not pseudomyopia.
    • One patient presented with -8.62 spherical equivalent, a notable degree of myopia for PACG.

    Findings:

    • Myopia does not preclude the development of primary angle closure glaucoma.
    • The presence of true myopia, even at high levels, can be associated with PACG.
    • A case of PACG in a highly myopic individual (-8.62 SE) is potentially the most myopic reported.

    Implications:

    • Ophthalmologists should consider PACG in myopic patients presenting with relevant symptoms.
    • Anatomical protective factors in myopia do not eliminate PACG risk.
    • Laser iridectomy is a viable treatment option for PACG in myopic patients.

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