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

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

doi:10.3341/jkos.2010.51.2.303

Journal List > J Korean Ophthalmol Soc > v.51(2) > 1008745

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Hwang, Yeom, Kim, and Lee: A Case of Acute Angle-Closure Glaucoma in a Nanophthalmos Patient

Original Article

J Korean Ophthalmol Soc 2010;51(2):303-306.

Published online: 7 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.2.303

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

Je Hyung Hwang, MD¹, Dong Ju Yeom, MD², Jae Suk Kim, MD¹, Joo Hwa Lee, MD¹

¹Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea

²Department of Ophthalmology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea

Address reprint requests to Joo Hwa Lee, MD Department of Ophthalmology, Inje University College of Medicine, Sanggye Paik Hospital #761-1 Sanggye-7dong, Nowon-gu, Seoul 139-707, Korea Tel: 950-1096, Fax: 935-6904, E-mail: joohlee@paik.ac.kr

Received 28 August 2009 Accepted 15 December 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Angle-closure glaucoma, Laser iridotomy, Nanophthalmos

References

1. Duke-Elder S. System of Ophthalmology. 3. St. Louis: CV Mosby Company;1963. p. 29–43.

2. Serrano JC, Hodgkins PR, Taylor DS, et al. The nanophthalmic macula. Br J Ophthalmol. 1998; 82:276–9.

3. Cross HE, Yoder F. Familial nanophthalmos. Am J Ophthalmol. 1976; 81:300–6.

4. Hirsch SE, Waltman SR, LaPiana FG. Bilateral nanophthalmos. Arch Ophthalmol. 1973; 89:353.

5. Vingolo EM, Steindl K, Forte R, et al. Autosomal dominant simple microphthalmos. J Med Genet. 1994; 31:721–5.

6. Altintas AK, Acar MA, Yalvac IS, et al. Autosomal recessive nanophthalmos. Acta Ophthalmol Scand. 1997; 75:325–8.

7. Kimbrough RL, Trempe CS, Brockhurst RJ, et al. Angle-closure glaucoma in nanophthalmos. Am J Ophthalmol. 1979; 88:572–9.

8. Singh OS, Simmons RJ, Brockhurst RJ, Trempe CL. aberrations: a perspective on identification and therapy. Ophthalmology. 1982; 89:1006–12.

9. Calhoun FP Jr. The management of glaucoma in nanophthalmos. Trans Am Ophthalmol Soc. 1975; 73:97–122.

10. Burgoyne C, Tello C, Katz LJ. Nanophthalmia and chronic angle-closure glaucoma. J Glaucoma. 2002; 11:525–8.

11. Behrman RE, Kleigman RM, Jenson HB. Textbook of Pediatrics. Philadelphia: Elsevier under yhe imprint Saunders;1979. p. 337–78.

12. South MA, Tompkins WA, Morris CR, Rawls WE. Congenital malformations of the central nervous system associated with geni-tal type(type 2) herpes virus. J Pediatr. 1969; 75:13–8.

13. Wilmer HA, Scammon RE. Growth of the components of the human eyeball. Arch Ophthalmol. 1950; 43:599–619.

14. Brockhurst RJ. Nanophthalmos with uveal effusion: a new clinical entity. Trans Am Ophthalmol Soc. 1974; 72:371–403.

15. Ruiz RS, Salmonsen PC. Expulsive choroidal effusion. A complication of intraocular surgery. Arch Ophthalmol. 1976; 94:69–70.

16. Burgoyne C, Tello C, Katz LJ. Nanophthalmia and chronic angle-closure glaucoma. J Glaucoma. 2002; 11:525–8.

17. Jin JC, Anderson DR. Laser and unsutured sclerotomy in nanophthalmos. Am J Ophthalmol. 1990; 109:575–80.

18. Good WV, Stern WH. Recurrent nanophthalmic uveal effusion syndrome following laser trabeculoplasty. Am J Ophthalmol. 1988; 106:234–5.

Figure 1.

The preoperative slit lamp photographs showing a shallow anterior chamber in the right eye (A, B) and angle closure of the left eye (C, D).

TOOLS

Similar articles