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Ophthalmology and Visual Sciences

Case Category Index

Case Index: Glaucoma / Iris

Aphakic Glaucoma: 5-year-old female was referred to the University of Iowa Hospitals and Clinics (UIHC) Glaucoma Clinic for evaluation of suspected aphakic glaucoma of the left eye (OS).

Aqueous Misdirection: 88-year-old hyperopic female presented with left eye pain rated 10/10 and associated blurred vision, headache, nausea, and vomiting

Blebitis: 74-year-old with red eye after trabeculectomy

Competition Leads to Healthcare Savings: A systems based case from the VA

Giant reservoir formation from Ahmed seton valve: A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. His wife mentioned that he exhibits a right head turn while watching television.

Grant syndrome (Syndrome of precipitates on the trabecular meshwork): 60-year-old male referred for evaluation of elevated intraocular pressure (IOP), right eye with corneal edema. Treated with a laser peripheral iridotomy and started on bimatoprost and brimonidine/timolol. The only pertinent exam findings were pigmented precipitates on the anterior trabecular meshwork OD on gonioscopy.

Hyphema: Diagnosis and Management: A 33-year-old Caucasian female with a prior history of amelanotic left iris lesion for >6 years presented to the emergency department after developing sudden onset of progressively blurry vision while reading.

Hypotony: Late hypotony from trabeculectomy and Ahmed seton with resulting hypotony maculopathy: A 36-year old female presented with poor vision secondary to a low intraocular pressure (IOP) in her right eye.

Iris Cyst: 38-year-old female with iris lesion and gradual decrease in vision

Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion

Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS.

Juvenile open-angle glaucoma: 22-year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP)

Melanocytoma of the Iris and Ciliary Body:  14-year-old male with a pigmented iris lesion of the left eye noticed on routine eye exam approximately two years earlier. Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds.

Nanophthalmos with Ocular Hypertension and Angle-Closure: 37-year-old woman presented as a referral from her local eye doctor who found that her intraocular pressure (IOP) was high on routine eye examination.

Neovascular Glaucoma: 80-year-old man with recurrent vitreous hemorrhages, hyphema, and elevated intraocular pressure after a central retinal vein occlusion in the right eye

Normal Tension Glaucoma: 50-year-old female with progressive visual field loss, glaucomatous disc change and normal IOP

Ocular Ischemic Syndrome in a patient with background Diabetic Retinopathy: Distinguishing Features: 70-year-old male presented with blurred vision in the right eye for several weeks.

Pigmentary Glaucoma: 24-year-old male with episodic haloes around lights and blurry vision

Phacolytic Glaucoma: 65-year-old male presented with acute onset of pain and redness in his right eye (OD), which had long-standing light perception vision after an explosive injury resulted in a penetrating shrapnel wound and large macular scar

Plateau Iris: A healthy 47-year-old female referred for evaluation for glaucoma exhibitsan uncommon form of primary angle closure glaucoma

Posner-Schlossman Syndrome: 63-year-old male was evaluated on an urgent basis for pain, redness, and "elevated eye pressure" in the left eye (OS).

Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye

Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS.

Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC): A 59-year-old male presented with a history of Granulomatosis with Polyangiitis (GPA) - formerly known as Wegener's Granulomatosis, medically-uncontrolled primary open angle glaucoma (POAG), and pathologic myopia.

Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT). A 20-year-old female was referred for management of secondary open-angle glaucoma. 3 years prior she had been diagnosed with an unusual vasoproliferative tumor in her left eye. Shortly after treatment with intravitreal steroids and photodynamic therapy, her IOP spiked to 59 mm Hg.

Seton Infection: Serratia Marcescens: 57-year-old white female with 1 day history of redness, swelling, and pain in her right eye.

Sturge-Weber Syndrome: 4-year-old child with a history of seizures and glaucoma.

Weill-Marchesani Syndrome: 12-year-old female referred to the glaucoma clinic for suspected chronic angle closure of the left eye.

Case Category Index