Early diagnosis of pigmentary glaucoma with pseudo-normal pressure in a patient after radial keratotomy (case study)
https://doi.org/10.53432/2078-4104-2022-21-2-27-33
Abstract
The article describes a clinical case of diagnostics and diagnosis of pigmentary glaucoma with pseudo-normal pressure in a patient who had previously underwent radial keratotomy (RKT).
This case is interesting in that the detection of pigmentary glaucoma can be significantly complicated by a falsely low level of intraocular pressure (IOP) in the myopic eye after previous RKT and secondary hypermetropic shift, combined with the difficulty of an in-depth ophthalmoscopic assessment of the state of the optic nerve head in myopia, as well as perimetric study due to keratotomy scars. Tonometric IOP readings in such eyes should be considered carefully and supplemented with examination of other characteristic clinical signs of pigmentary glaucoma. This would help establish the diagnosis early and timely prescribe pathogenetic treatment.
Supporting agencies: the authors received no specific funding for this work
About the Authors
R. A. Burya
Khabarovsk branch of S.N. Fedorov National Medical Research Center MNTK Eye Microsurgery
Russian Federation
Russian Federation
Ophthalmologist, Head of the Diagnostic and Therapeutic Department.
211 Tikhookeanskaya St., Khabarovsk, 680033
O. V. Kolenko
Khabarovsk branch of S.N. Fedorov National Medical Research Center MNTK Eye Microsurgery; Postgraduate Institute for Public Health Specialists
Russian Federation
Russian Federation
Dr. Sci. (Med.), Director Khabarovsk branch of S.N. Fedorov NMRC MNTK Eye Microsurgery, Professor at the Academic Department of Ophthalmology PI PHS.
211 Tikhookeanskaya St., Khabarovsk, 680033; 9 Krasnodarskaya St., Khabarovsk, 680009
A. A. Fil
Khabarovsk branch of S.N. Fedorov National Medical Research Center MNTK Eye Microsurgery
Russian Federation
Russian Federation
Researcher.
211 Tikhookeanskaya St., Khabarovsk, 680033
E. L. Sorokin
Khabarovsk branch of S.N. Fedorov National Medical Research Center MNTK Eye Microsurgery; Far-Eastern State Medical University
Russian Federation
Russian Federation
Dr. Sci. (Med.), Professor, Deputy Director for Scientific Work Khabarovsk branch of S.N. Fedorov NMRC MNTK Eye Microsurgery, Professor at the Academic Department of General and Clinical Surgery Far-Eastern SMU.
211 Tikhookeanskaya St., Khabarovsk, 680033; 35 Muravyova-Amurskogo St., Khabarovsk, 680000
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Review
For citations:
Burya R.A., Kolenko O.V., Fil A.A., Sorokin E.L. Early diagnosis of pigmentary glaucoma with pseudo-normal pressure in a patient after radial keratotomy (case study). National Journal glaucoma. 2022;21(2):27-33. (In Russ.) https://doi.org/10.53432/2078-4104-2022-21-2-27-33
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