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Management of bilateral microspherophakia with secondary angle closure glaucoma.
Nepal J Ophthalmol. 2015 Jan-Jun; 7(1):69-73.NJ

Abstract

BACKGROUND

Microspherophakia is characterized by lenticular myopia, late development of lens dislocation, shallow anterior chamber and angle-closure glaucoma. If it is associated with angle closure glaucoma, the management can be challenging.

OBJECTIVE

To report the management of a case of bilateral secondary angle closure glaucoma with isolated microspherophakia and right subluxated lens in a middle aged lady.

CASE

A 47-year-old female presented with bilateral secondary angle closure glaucoma with isolated microspherophakia, right subluxated lens and left operated trabeculectomy. The patient`s best corrected log mar visual acuity improved from 1.0 to 0.2 and intraocular pressure (IOP) decreased from 24.9mm of Hg to lower teens following lensectomy with scleral fixation of posterior chamber intraocular lens in the right eye. The left eye IOP remained in mid teens without medication in two year follow up.

CONCLUSION

This case demonstrates that microspherophakia should be ruled out even in middle aged patients presenting as angle closure glaucoma. The possibility of thickened cornea must be kept in mind requiring an IOP correction. Lensectomy with scleral fixation of posterior chamber IOL provides a satisfactory recovery of visual acuity and IOP control. Though in this patient, the lens was held in position by posterior synechiae in the left eye, future stability of zonules needs to be monitored.

Authors+Show Affiliations

Subharti Medical College, Uttar Pradesh, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26695610

Citation

Malik, K Ps, et al. "Management of Bilateral Microspherophakia With Secondary Angle Closure Glaucoma." Nepalese Journal of Ophthalmology : a Biannual Peer-reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH, vol. 7, no. 1, 2015, pp. 69-73.
Malik KP, Goel R, Jain K, et al. Management of bilateral microspherophakia with secondary angle closure glaucoma. Nepal J Ophthalmol. 2015;7(1):69-73.
Malik, K. P., Goel, R., Jain, K., Nagpal, S., & Singh, S. (2015). Management of bilateral microspherophakia with secondary angle closure glaucoma. Nepalese Journal of Ophthalmology : a Biannual Peer-reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH, 7(1), 69-73. https://doi.org/10.3126/nepjoph.v7i1.13174
Malik KP, et al. Management of Bilateral Microspherophakia With Secondary Angle Closure Glaucoma. Nepal J Ophthalmol. 2015 Jan-Jun;7(1):69-73. PubMed PMID: 26695610.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of bilateral microspherophakia with secondary angle closure glaucoma. AU - Malik,K Ps, AU - Goel,R, AU - Jain,K, AU - Nagpal,S, AU - Singh,S, PY - 2015/12/24/entrez PY - 2015/12/24/pubmed PY - 2016/9/14/medline SP - 69 EP - 73 JF - Nepalese journal of ophthalmology : a biannual peer-reviewed academic journal of the Nepal Ophthalmic Society : NEPJOPH JO - Nepal J Ophthalmol VL - 7 IS - 1 N2 - BACKGROUND: Microspherophakia is characterized by lenticular myopia, late development of lens dislocation, shallow anterior chamber and angle-closure glaucoma. If it is associated with angle closure glaucoma, the management can be challenging. OBJECTIVE: To report the management of a case of bilateral secondary angle closure glaucoma with isolated microspherophakia and right subluxated lens in a middle aged lady. CASE: A 47-year-old female presented with bilateral secondary angle closure glaucoma with isolated microspherophakia, right subluxated lens and left operated trabeculectomy. The patient`s best corrected log mar visual acuity improved from 1.0 to 0.2 and intraocular pressure (IOP) decreased from 24.9mm of Hg to lower teens following lensectomy with scleral fixation of posterior chamber intraocular lens in the right eye. The left eye IOP remained in mid teens without medication in two year follow up. CONCLUSION: This case demonstrates that microspherophakia should be ruled out even in middle aged patients presenting as angle closure glaucoma. The possibility of thickened cornea must be kept in mind requiring an IOP correction. Lensectomy with scleral fixation of posterior chamber IOL provides a satisfactory recovery of visual acuity and IOP control. Though in this patient, the lens was held in position by posterior synechiae in the left eye, future stability of zonules needs to be monitored. SN - 2072-6805 UR - https://www.unboundmedicine.com/medline/citation/26695610/Management_of_bilateral_microspherophakia_with_secondary_angle_closure_glaucoma_ L2 - http://www.diseaseinfosearch.org/result/3065 DB - PRIME DP - Unbound Medicine ER -