Glaucoma

Hypotony Following Glaucoma Drainage Implant A patient with a past ocular history of primary open angle glaucoma who underwent cataract extraction and trabeculectomy in the right eye and cataract extraction in the left eye presented for evaluation of high intraocular pressure in both eyes. Visual a…

Restrictive Strabismus Secondary to a Large Encapsulated Non-Valved Glaucoma Drainage Implant Fibrotic Capsule A patient with a history of primary open angle glaucoma of both eyes and myopic degeneration with amblyopia and chronic poor central vision of the right eye presented with elevated intraoc…

Dorzolamide Induced Choroidal Effusion A patient with POAG of both eyes presented with unilateral decreased vision and flashes to the left eye after starting dorzolamide two days prior. Visual acuity was 20/40 in the right eye and 20/20 in the left eye. Intraocular pressure was 09 OD and 08 OS. Ant…

Photograph of a peripheral iridotomy.

UBM demonstrating iris hypoplasia in a patient with aniridia.

Mixed Mechanism Angle Closure Glaucoma A patient presented with eye pain and decreased vision in the left eye and treated for HSV keratouveitis. A few months later, he presented with halos and high IOP. He was placed on topical glaucoma drops and continued to have episodes. A laser peripheral iride…

Aniridia and Secondary Glaucoma A patient presented with bilateral uncontrolled intraocular pressure (IOP) on maximum medical therapy. Clinical exam was limited by corneal scarring of both eyes but visual acuity was 20/350 OD and 20/250 OS. Intraocular pressure was 27 OD and 29 OS. She had long-sta…

Nanophthalmos with Angle Closure Glaucoma A patient presented with uncontrolled intraocular pressure (IOP) on maximum medical therapy and had bilateral laser iridotomy. The patient was diagnosed with angle-closure glaucoma. Biometry measurements were consistent with nanophthalmos. The right eye und…

Primary Congenital Glaucoma A young child with no past ocular history presents with vision loss for 2 months. Her exam was notable for visual acuity of 20/250 in the affected eye with intraocular pressures of 38, relative afferent pupillary defect. Slit lamp findings were notable for subtle bupthal…

A patient with proliferative diabetic retinopathy and history of cataract extraction presenting with recurrent episodes of high intraocular pressure. Fundus photo reveals hazy view with dense white vitreous opacity as well as diffuse retinal changes consistent with diabetes.

Primary Congenital Glaucoma A young patient with no past medical or ocular history presented to the emergency room with redness, tearing, and light sensitivity of the left eye. She had no family history of eye conditions and had a normal birth and development thus far. On initial examination in the…

Chronic Angle-Closure Glaucoma A monocular patient with advanced chronic angle closure glaucoma in her left eye was referred for possible glaucoma surgery. She reported progressive worsening vision, especially of her peripheral vision. Exam was notable for visual acuity of 20/40 with an intraocular…

Motility Disturbances after Glaucoma Drainage Device A patient with a history of traumatic angle recession glaucoma in the left eye presented with acute onset of double vision and persistent ocular soreness in the left eye. He denied generalized weakness or difficulty with respiration. His surgical…

Total hyphema with dehemoglobinized heme inferiorly post operative day 1 s/p ce/iol/kahook dual blade right eye

Hyphema A patient with past medical history of hypothyroidism, DVT, Basal Cell Carcinoma and past ocular history of birdshot chorioretinitis, severe uveitic glaucoma, and visually significant bilateral cataracts underwent uneventful combined cataract extraction with intraocular lens implantation of…

Juvenile Xanthogranuloma Patient presented to the BPEI emergency room with tearing and light sensitivity of the right eye for 1 month. Examination revealed grimace-to-light vision, soft to palpation intraocular pressure, and hyphema. Skin examination revealed yellowish raised skin lesions on the ne…