A Case of Acute Angle-Closure Glaucoma in a Nanophthalmos Patient.

Hwang, Je Hyung; Yeom, Dong Ju; Kim, Jae Suk; Lee, Joo Hwa

doi:2010.51.2.303

J Korean Ophthalmol Soc > Volume 51(2); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(2):303-306.
DOI: https://doi.org/10.3341/jkos.2010.51.2.303 Published online February 15, 2010.

A Case of Acute Angle-Closure Glaucoma in a Nanophthalmos Patient.

Je Hyung Hwang, Dong Ju Yeom, Jae Suk Kim, Joo Hwa Lee

¹Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. joohlee@paik.ac.kr
²Department of Ophthalmology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

순수소안구증에 동반된 급성폐쇄각녹내장 1예

황제형¹ㆍ염동주²ㆍ김재석¹ㆍ이주화¹

Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine¹, Seoul, Korea, Department of Ophthalmology, Seoul Paik Hospital, Inje University College of Medicine², Seoul, Korea

Abstract

PURPOSE
To present a case of acute angle-closure glaucoma in a nanophthalmos patient. CASE SUMMARY: A 28-year-old woman visited the hospital for a sudden pain in the left eye, she had a small orbital bone and narrow palpebral fissurea in both eyes. Her intraocular pressure (IOP) was 58 mmHg in the left eye. The slit lamp examination showed shallow anterior chambers in both eyes, and the gonioscopic examination showed a closed angle in the left eye. The diameters of the corneas were 11 mm , and the axial lengths were 19.7 mm in the right eye and 19.6 mm in the left eye. The depths of the anterior chambers were 1.51 mm in the right eye and 1.82 mm in the left eye. The disease was diagnosed as acute angle-closure glaucoma in the left eye of the patient with nanophthalmos, and thus the IOP of the left eye was lowered using ophthalmic drugs and medications. Laser iridotomy was performed on both eyes. CONCLUSIONS: For around a year of follow-up after laser iridotomy, complications such as the rise of intraocular pressure and choroidal effusion were not observed. This suggests that laser iridotomy can be an effective treatment for acute angle-closure glaucoma accompanying nanophthalmos.

Key Words: Angle-closure glaucoma;Laser iridotomy;Nanophthalmos