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CASE REPORT
Year : 2018  |  Volume : 30  |  Issue : 2  |  Page : 124-126

Management of angle-closure glaucoma secondary to spherophakia: A report and brief review of treatment options


1 Anterior Segment Services, Aradhana Eye Institute, Thiruvananthapuram, Kerala, India
2 Department of Ophthalmology, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Ashish George Kuruvilla
Aradhana Eye Institute, Manacaud, Thiruvananthapuram - 695 009, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/kjo.kjo_27_18

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A 16-year-old girl presenting with chronic headaches had findings of high myopia, uniformly shallow anterior chambers, and spherical crystalline lenses in both eyes with elevated intraocular pressure (IOP) in the left eye. The optic discs were healthy and axial lengths were normal. Antiglaucoma medications were initiated. Inadvertent cycloplegia paradoxically aided control of pressures within 24 h. On review, gonioscopy revealed nonsynechial angle closure. Dilatation revealed no zonulodialysis or subluxation bilaterally. The edge of the lens was clearly seen. A diagnosis of bilateral spherophakia with secondary angle-closure glaucoma in the left eye was made. She underwent sequential phacoemulsification with foldable intraocular lens implantation which adequately controlled her IOPs. Identifying spherophakia when presented with high myopia, raised IOPs and shallow anterior chambers, and documenting peripheral synechiae, subluxation, and zonular weakness may prove crucial in the management of secondary angle-closure glaucoma in such cases.


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