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  • Title: Asymmetric glaucoma in pseudoplateau iris syndrome.
    Author: Swogger JS, Jain SG, Sawchyn AK, Fleming GP.
    Journal: BMJ Case Rep; 2017 Oct 04; 2017():. PubMed ID: 28978593.
    Abstract:
    A 39-year-old Caucasian man with bilateral narrow angles, a plateau-like iris configuration on gonioscopy and elevated intraocular pressure (IOP) presented with significant asymmetric glaucoma, left eye affected more than right. Initial management with topical medical therapy, laser iridoplasty and peripheral iridotomy in the left eye was ineffective in lowering the IOP or opening the anterior chamber angle. Ultrasound biomicroscopy demonstrated bilateral ciliary body cysts. The patient ultimately required surgical management, consisting of cataract extraction and endoscopic cyclophotocoagulation of ciliary body cysts in the left eye and trabeculectomy in the right eye, for persistent IOP control to prevent further optic nerve damage and subsequent visual field loss.
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