Persistent hyperplastic primary vitreous--a case report of adult onset acute angle-closure glaucoma] |
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Authors: | H Sawada T Fukuchi A Ohta K Suda T Togano T Nakatsue S Funaki H Hara M Shirakashi H Abe |
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Affiliation: | Department of Ophthalmology, Niigata University School of Medicine, 1-757 Asahi-machi, Niigata 951-8510, Japan. |
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Abstract: | BACKGROUND: We report a patient with persistent hyperplastic primary vitreous(PHPV) who presented with acute angle-closure glaucoma in his adult life. CASE: A 30-year-old man had an attack of acute angle-closure glaucoma associated with retrolenticular fibrous tissue, atrophic retina, and elongated cilliary process in his right eye. RESULT: Ultrasound biomicroscopy(UBM) study showed iris bowing, shallow anterior chamber, and elongated cilliary body which were being pulled by the retrolenticular mass. The posterior chamber was normal. CONCLUSION: Although the mechanisms of secondary angle-closure glaucoma in PHPV are complicated, we suspected pupillary block resulting from constriction by the retrolenticular mass in this case. |
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