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Bleb-Associated Endophthalmitis An adult patient presented to the Bascom Palmer emergency room for evaluation of two days of pain, redness, discharge, and vision loss of the left eye. He had a history of open angle glaucoma and underwent trabeculectomy bilaterally in both eyes two years prior to pr…

Neovascular Glaucoma Secondary to Anterior Segment Ischemia After Vitreoretinal Surgery A middle-aged patient with a past ocular history of retinal detachment status-post repair with a combined pars plana vitrectomy and scleral buckle was managed by an outside ophthalmologist for elevated intraocul…

Posner-Schlossman Syndrome/Glaucomatocyclitic Crisis A patient presented with decreased vision in the left eye after being struck in the eye by a cabinet. The patient stated that he was struck in the eye 1 month prior to presentation, but only experienced decreased vision start 1 week prior. Upon p…

Primary Congenital Glaucoma We present two cases of patients with primary congenital glaucoma (PCG) and buphthalmos who underwent cataract surgery and Glaucoma Drainage Implant (GDI). The first case is a young adult, VA 20/60 in the right eye and hand movements (struggle) in the left eye. Intraocul…

Elevated Episcleral Venous Pressure (Idiopathic) An otherwise healthy patient without past ocular history presented with left eye redness and no associated symptoms. Her examination was notable for corrected visual acuity of 20/15 and intraocular pressure of 14 mmHg on no topical treatment in the r…

Phacomorphic Glaucoma A patient with a history of chronic angle closure glaucoma (ACG) referred by local ophthalmologist to ED for evaluation. Patient had previously undergone a laser iridotomy in both eyes and had a history of chronic angle closure glaucoma. The intraocular pressure (IOP) was been…

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…

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…

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…

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…

Photograph of a peripheral iridotomy.

UBM demonstrating iris hypoplasia in a patient with aniridia.

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…