Article

Pigmentary glaucoma accompanied by Usher syndrome.

Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.
Journal of glaucoma (impact factor: 1.74). 04/2011; 21(6):392-3. DOI:10.1097/IJG.0b013e3182127ac5 pp.392-3
Source: PubMed

ABSTRACT To report a case of pigmentary glaucoma (PG) accompanied by Usher syndrome.
Case report.
The results were presented after standard ocular examination, visual field test, anterior segment and fundus photography, electroretinography, and otolaryngology consultation were conducted.
Typical retinitis pigmentosa, flat electroretinography, congenital sensorineural hearing loss, high intraocular pressure, Krukenberg spindle, iris concavity, radial iris transillumination defect, severe pigment deposition on the trabecular meshwork, and glaucomatous optic nerve damage were indicative of PG accompanied by Usher syndrome.
In some rare cases, PG may coexist with Usher syndrome. Common findings of Usher syndrome, including night blindness, impaired vision, visual field defects, and retinal changes may distract the clinician from considering the diagnosis of glaucoma. Such association should be borne in mind to make a timely diagnosis and treatment possible.

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Keywords

anterior segment
 
Case report
 
congenital sensorineural hearing loss
 
glaucoma
 
glaucomatous optic nerve damage
 
iris concavity
 
night blindness
 
pigmentary glaucoma
 
rare cases
 
severe pigment deposition
 
standard ocular examination
 
timely diagnosis
 
trabecular meshwork
 
treatment possible
 
Typical retinitis pigmentosa
 
Usher syndrome
 
visual field defects
 
visual field test
 

Behrooz Koucheki