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Pseudoexfoliation syndrome as a risk factor for acute ciliary block angle closure glaucoma
I von der Lippe1, M Küchle, G O Naumann
1Department of Ophthalmology, Friedrich-Alexander-University Erlangen-Nürnberg, Germany.
Acta Ophthalmologica
|April 1, 1993
Summary
Pseudoexfoliation syndrome can cause ciliary block angle closure glaucoma. Successful treatment involved surgery, controlling intraocular pressure without medication.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Genetics and Eye Diseases
Background:
- Pseudoexfoliation (PSX) syndrome is a common condition affecting ocular tissues.
- Angle closure glaucoma is a serious condition that can lead to vision loss.
Observation:
- Two patients with unilateral ciliary block angle closure glaucoma and bilateral PSX syndrome were studied.
- Successful surgical interventions included posterior sclerotomy and cataract extraction with lens implantation.
Findings:
- Intraocular pressure was controlled without medication during follow-up periods of 5 and 12 months.
- PSX syndrome may lead to lens subluxation and ciliary block angle closure glaucoma due to ciliary epithelium changes.
- Ciliary block angle closure glaucoma is identified as a potential complication of PSX syndrome.
Implications:
- Miotics should be used cautiously in PSX patients with zonular alterations to prevent triggering this glaucoma mechanism.
- Early recognition and management of PSX-related glaucoma are crucial for preserving vision.
- This study highlights a novel association between PSX syndrome and ciliary block angle closure glaucoma.