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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…

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…

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 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…

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…

UBM demonstrating iris hypoplasia in a patient with aniridia.

Photograph of a peripheral iridotomy.

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…

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…

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…

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…

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…

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…