Pigmentary Glaucoma versus Angular Closure

Authors: Vicmel ZG*, Mairelys CD and Juana Beatriz ZG

Volume 4, Issue 2

Abstract

Pigmentary Glaucoma is a bilateral process characterized by the deposit of pigment granules throughout the anterior segment that causes an increase in intraocular pressure due to pigmentary obstruction and injury to the trabeculum. We present a patient with a previous history of elevated intraocular pressure treated with timolol 0.5 % that arrives to consultation with blurred vision. Ophthalmological examination revealed a compound hypermetropic astigmatism with elevated intraocular pressures, the presence of guttas in the endothelium and narrowing of the anterior chamber, deposits of endothelial pigments and in the lens also opacified and in the trabeculum, with angular closure. In the fundus of the eye, asymmetry was observed in the excavations and visual alterations appeared in the field. The IOL Master 700 corroborated that it is a patient with small eyes and narrow cameras, something that is not frequent in Pigmentary Glaucoma, for which an angular closure is also proposed.

Keywords: Pigmentary Glaucoma; Angular Closure

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