The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
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Glaucomflecken in
primary acute angle closure glaucoma
Photo by Dr. Ngo Chek Tung
A 60
year-old woman complained of a one-week history of painful left eye and
decreased vision. She was found to have an intraocular pressure of 65 mmHg,
shallow anterior chamber and semi-dilated pupil. The pressure was controlled
with oral acetazolamide and topical pilocarpine and timolol. The following
pictures show glaucomflecken (due to ischaemic anterior lenticular
epithelium) and closed trabecular meshwork angle on gonioscopy.
Glaucomflecken and pigment on the
anterior lens surface.
Glaucomflecken, shallow anterior
chamber and corneal oedema.
Closed angle of the trabecular
meshwork on gonioscopy.
