|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|4006556||1260747||2016||3 صفحه PDF||ندارد||دانلود کنید|
Acute angle closure is common in hyperopic eyes but uncommon in myopic eyes. Here, we report a case of angle closure attack in a 59-year-old female patient with high axial myopia. The patient presented without underlying medical history or drug history with marked congestion and progressively blurred vision in her right eye (RE) for 1 week. Initial intraocular pressure (IOP) was 40 mmHg in the RE and 19 mmHg in the left eye. Slit lamp examination revealed a very shallow anterior chamber in both eyes and marked corneal microcytic edema in the RE. Acute angle closure of the RE was diagnosed. Conservative IOP-lowering management followed by laser iridotomy was effective in managing acute high IOP crisis; however, early cataract extraction was necessary for long-term IOP control. Clinicians should be mindful of the possibility of acute angle closure even in highly axially myopic eyes.
Journal: American Journal of Ophthalmology Case Reports - Volume 1, April 2016, Pages 31–33