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Unusual presentation of more common disease/injury
CASE REPORT
Asymmetric glaucoma in pseudoplateau iris syndrome
  1. John S Swogger,
  2. Shelly G Jain,
  3. Andrea K Sawchyn,
  4. Gloria P Fleming
  1. Department of Ophthalmology, Ohio State University, Columbus, Ohio, USA
  1. Correspondence to Dr Gloria P Fleming, Gloria.fleming{at}osumc.edu

Summary

A 39-year-old Caucasian man with bilateral narrow angles, a plateau-like iris configuration on gonioscopy and elevated intraocular pressure (IOP) presented with significant asymmetric glaucoma, left eye affected more than right. Initial management with topical medical therapy, laser iridoplasty and peripheral iridotomy in the left eye was ineffective in lowering the IOP or opening the anterior chamber angle. Ultrasound biomicroscopy demonstrated bilateral ciliary body cysts. The patient ultimately required surgical management, consisting of cataract extraction and endoscopic cyclophotocoagulation of ciliary body cysts in the left eye and trabeculectomy in the right eye, for persistent IOP control to prevent further optic nerve damage and subsequent visual field loss.

  • ophthalmology
  • anterior chamber
  • glaucoma
  • iris

https://doi.org/10.1136/bcr-2017-221141

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    Footnotes

    • Contributors GPF was the primary clinician/surgeon, but all authors were involved in the patient’s care. JSS and GPF were responsible for the creation of the original and revised manuscript and performed the scientific literature review. SGJ and AKS provided critical review of the manuscript and necessary revisions.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.