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-standing nystagmus. Ultrasound biomicroscopy revealed iris hypoplasia OU consistent with aniridia. The patient was diagnosed with secondary glaucoma OU. B scan demonstrated subluxed lenses OU and a retinal detachment OS. Surgical options for management of IOP in both eyes are limited due to extensive corneal scarring. The patient is currently awaiting CPC laser first in the right eye and then the left eye. Once there is improved IOP control, the patient will undergo pars plana vitrectomy of the left eye for chronic retinal detachment.
Presentation Date: 01/12/2023
Issue Date: 01/20/2023