Acute angle-closure glaucoma in a patient with miller fisher syndrome without pupillary dysfunction.

Abstract:

PURPOSE:To report a case of an angle-closure glaucoma in a patient with Miller Fisher syndrome (MFS) without pupillary dysfunction. METHODS:We present a case report of a 75-year-old male presenting with total ophthalmoplegia, complete bilateral ptosis, and gait disturbance. He was diagnosed with MFS without pupillary dysfunction, which precipitated unilateral acute angle-closure glaucoma (AACG) due to complete lid ptosis. RESULTS:The initial ocular examination revealed hand motion in the right eye. Intraocular pressure, as assessed by Goldmann applanation tonometry, was 50 mm Hg, and gonioscopic findings revealed a closed angle on the right eye. After maximal tolerated medical therapy, laser peripheral iridotomy was performed. The unilateral AACG with MFS resolved without further incident. CONCLUSIONS:This is the first reported case of a patient with MFS without autonomic dysfunction and AACG. We believe that pupillary dysfunction or lid ptosis due to neurological disorders may increase the possibility of AACG.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Ryu WY,Kim JK,Jin SW,Shim DH

doi

10.1097/IJG.0000000000000191

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

e5-6

issue

2

eissn

1057-0829

issn

1536-481X

journal_volume

24

pub_type

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