Exercise-induced increase of intraocular pressure in the pigmentary dispersion syndrome

A 32-year-old man with pigmentary dispersion syndrome had blurred vision and halos after strenuous exercise, associated with a release of pigment into the anterior chamber and increased intraocular pressure (IOP). Additionally, he had typical symptoms after emotional stress or exposure to dim illumination, and had a high IOP without angle closure during a darkroom provocative test. The exercise-induced symptoms and the increase of IOP were prevented by the use of pilocarpine 0.5% drops immediately before exercise.