International Journal of Applied and Basic Medical Research

CASE REPORT
Year
: 2021  |  Volume : 11  |  Issue : 4  |  Page : 270--272

Angle closure with patent laser peripheral iridotomy - An unusual complication


Saswati Sen, Matuli Das, Tej Mehar Singh Chugh 
 Department of Ophthalmology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India

Correspondence Address:
Saswati Sen
Department of Ophthalmology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha
India

A 41-year-old female presented with diminished vision in both eyes with recurrent episodes of pain, redness, and watering. With a provisional diagnosis of primary angle-closure glaucoma in the left eye and primary angle closure in the right eye, anti-glaucoma medications were started in the left eye and laser peripheral iridotomy was done in both eyes. Follow-up showed patent iridotomy in both eyes and dilated fundoscopy revealed total cupping in the left eye. Next day, the patient had angle closure in the right eye. On medical management, symptoms subsided but intraocular pressure (IOP) was still raised. Right eye trabeculectomy with cataract surgery was done. Vision was restored to 6/9 with IOP of 12 mmHg after 2 weeks. The event was considered to be precipitated because of plateau iris configuration which is an anatomical variant of angle in angle-closure patients. This proves patent laser iridotomy is not always a ticket to dilatation and one should be aware of all possible complications.


How to cite this article:
Sen S, Das M, Singh Chugh TM. Angle closure with patent laser peripheral iridotomy - An unusual complication.Int J App Basic Med Res 2021;11:270-272


How to cite this URL:
Sen S, Das M, Singh Chugh TM. Angle closure with patent laser peripheral iridotomy - An unusual complication. Int J App Basic Med Res [serial online] 2021 [cited 2022 Jan 27 ];11:270-272
Available from: https://www.ijabmr.org/article.asp?issn=2229-516X;year=2021;volume=11;issue=4;spage=270;epage=272;aulast=Sen;type=0