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Chinese children. Invest Ophthalmol Vis Sci 2002;43:1408-13. 4. Doughty MJ, Zaman ML. Human corneal thickness and its impact on intraocular pressure measures: a review and meta-analysis approach. Surv Ophthalmol 2000;44:367-408. 5. Pontz BF, Stoss H, Henschke F, Freisinger P, Karbowski A, Spranger JW. Clinical and ultrastructural findings in three patients with geleopysic dysplasia. Am J Med Genet 1996;63:50-4. 6. Santolaya JM, Groninga LC, Delgado A, Monasterio JL, Camarero C, Bilbao FJ. Patients with geleopysic dysplasia are not always geleophysic. Am J Med Genet 1997;72:85-90. 7. Saricaoglu MS, Sengun A, Karakurt A, Colluoglu Z. Autosomal dominant Weill-Marchesani syndrome and glaucoma management. Saudi Med J 2005;26:1468-9. 8. Razeghinejad MR, Safavian H. Central corneal thickness in patients
Inadvertent rupture of iridociliary cyst following transscleral Diode laser Nikhil S Choudhari, Gangaprasad M Amula, Aditya Neog Primary iridociliary cysts can induce plateau iris configuration and angle closure glaucoma. We report a patient with bilateral, primary, ring-shaped, solitary iridociliary cysts. The right eye displayed normal intraocular pressure, oppositional iridocorneal angle closure, and healthy optic nerve head. The left eye had advanced chronic angle closure glaucoma. The management strategy varied between eyes and is discussed. This, to the best of our knowledge, is the first report of transscleral Diode laser application in an eye with a large iridociliary cyst. Key words: Angle closure glaucoma, iridociliary cyst, laser cyclophotocoagulation
Primary iridociliary cysts can push the iris root anteriorly, causing a (pseudo) plateau iris configuration with or without angle closure glaucoma.[1-3] Only a single case of unilateral, solitary, ring-shaped iridociliary cyst presenting with acute angle closure has been reported.[4] Here, we present a patient
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Website: www.ijo.in DOI: 10.4103/0301-4738.109382 PMID: ***
Medical Research Foundation, Sankara Nethralaya, Chennai, India Correspondence to: Dr. Nikhil S. Choudhari, Medical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai - 600 006, India. E-mail:
[email protected] Manuscript received: 06.12.10; Revision accepted: 12.04.12
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with Weill-Marchesani syndrome. Am J Ophthalmol 2006;142:507-8. 9. Razeghinejad MR, Hosseini H, Namazi N. Biometric and corneal topographic characteristics in patients with Weill-Marchesani syndrome. J Cataract Refract Surg 2009;35:1026-32. 10. Chihara E. Assessment of true intraocular pressure: the gap between theory and practical data. Surv Ophthalmol 2008;53:203- 18. 11. Kotecha A. What biomechanical properties of the cornea are relevant for the clinician? Surv Ophthalmol 2007;52 (Suppl):109-14. Cite this article as: Saricaoglu MS, Güven D, Karakurt A, Hasiripi H. Geleophysic dysplasia associated with bilateral angle closure glaucoma. Indian J Ophthalmol 2013;61:122-4. Source of Support: Nil, Conflict of Interest: None declared.
with bilateral, primary, ring-shaped, solitary iridociliary cysts. There was a marked inter-eye asymmetry as regarding intraocular pressure (IOP), iridocorneal angle, and optic nerve head. These differences were found despite similar appearance of the iridociliary cysts on ultrasound biomicroscopy (UBM).
Case Report A 56-year-old male presented with chronic on and off pain in the left eye. Other components of medical history were unremarkable. His systemic examination revealed multiple subcutaneous tumors in distal upper limbs and more than 6 café-au-lait macules; but all were
