Glaucoma

Normal Tension Glaucoma A patient with a diagnosis of normal tension glaucoma presented for follow-up in the glaucoma department. Patient had open angles at gonioscopy, with mild hyperopia. At presentation, the intraocular pressure was 12 mmHg in the right eye and 13 mmHg in the left eye under trea…

Traumatic Cataract from Glaucoma Drainage Implant Tube Contact A patient with a history of pediatric glaucoma and buphthalmos in the setting of Bardet-Bield syndrome presented to the emergency room with acute progressive vision loss in the left eye after a seizure. The patient prior to injury had n…

Ghost Cell Glaucoma A patient with history of T2DM and HTN presented to an emergency department with 2 days of eye pain. The patient endorsed a history of CEIOL in both eyes several years prior and recent history of vitreous hemorrhage for which he had been receiving intravitreal injections. Upon p…

ICE syndrome with secondary angle closure glaucoma A patient presented to the Emergency Department with one day of right eye pain and blurry vision. She was noted to have decreased visual acuity in the right eye of 20/400 with highly elevated intraocular pressure at 50. Visual acuity and intraocula…

Orbital B-Cell Lymphoma in the Setting of Primary Open Angle Glaucoma A middle-aged patient was referred to BPEI after an Emergency Room visit for uncontrolled glaucoma. His outside ophthalmologist had been successfully managing the patient with topical medication and maintaining vision. Patient th…

Mixed Mechanism Glaucoma Secondary to Retained Lens Material A patient with a past ocular history of diabetic cataracts status post cataract extraction with posterior chamber intraocular lens insertion 28 years prior to presentation, proliferative diabetic retinopathy with macular edema treated wit…

Bleb Leak A patient with past ocular history of trabeculectomy for juvenile open angle glaucoma and DSAEK for Fuch’s endothelial corneal dystrophy presented to the emergency room with left eye blurred vision and redness. The patient was diagnosed with acute graft rejection. The patient was starte…

Choroidal Effusion After Glaucoma Drainage Device A patient with a past medical history of intellectual disability and ocular history of constant eye rubbing, a left eye with central retinal venous occlusion and mixed mechanism glaucoma and a right eye that is pseudophakic with open angle glaucoma …

Enlarged Tube-Shunt Bleb After Glaucoma Tube Shunt Implantation A middle-aged patient with a past ocular history of a congenital cataract in the left eye, status-post cataract extraction without intraocular lens placement as child, subsequent iris-sutured intraocular lens placement in 2018, and mul…

Cyclodialysis Cleft After Atent Implantation Patient with history of primary open angle glaucoma presented with persistent hyphema and hypotony after combined cataract surgery and implantation of a stent. Vision on presentation was hand motion with an intraocular pressure of 6. Exam was notable for…

Zonular Insufficiency in Case of Acute Angle Closure Crisis A patient presented to the BPEI Emergency Room with painful red eye and blurred vision. Prior history included possible eye trauma in the contralateral eye with inferior lens subluxation and normal lens anatomy without phacodonesis in the …

Glaucoma Drainage Device Related Endophthalmitis A patient with extensive past ocular history and multiple ocular surgeries, most recently a few months prior to presentation came to the emergency department with one day of pain and vision loss. On examination, patient was found to have a hypopyon, …

Juvenile Xanthogranuloma A baby was referred for a new-onset subconjunctival lesion in the right eye. He was found to have a thickened, yellow corneoscleral lesion and hyphema, presumed to be ocular juvenile xanthogranuloma (JXG). He was started on topical steroids as empiric treatment, with initia…

Exudative Retinal Detachment in a Patient with Phakomatosis Pigmentovascularis Secondary to Latanoprostene Bunod A young patient was brought in by her mother to evaluate elevated pressure in her right eye. Exam revealed a port wine birth mark over the V1/V2 distribution of the right eye and Nevus o…

Uveitis-Glaucoma-Hyphema Syndrome A patient with past ocular history of congenital cataracts status post cataract extraction with posterior chamber intraocular lens insertion in both eyes was managed by an outside ophthalmologist for elevated intraocular pressure (IOP) in the right eye. The patient…

Primary Congenital Glaucoma An infant with a past ocular history of epiphora, increased corneal diameter, and elevated intraocular pressure was referred to the Bascom Palmer Eye Institute for diagnosis and management. Upon initial presentation, the patient's intraocular pressure measured 18/22, whi…