Journal of Nippon Medical School: Vol.70 No.5 page.452

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ArticleTitle Angle-closure Glaucoma: Important Points in the Diagnosis and Follow-up

AuthorList Nobuo Shimizu, Mariko Higuchi, Kaori Wakayama, Haruhi Iwanami, Chiemi Yaguchi, Saori Horiguchi and Takumi Morita

Affiliation Department of Ophthalmology, Nippon Medical School Second Hospital

Language JA

Volume 70

Issue 5

Year 2003

Page 452-455

Received December 3, 2002

Accepted February 7, 2003

Keywords common cold, angle-closure glaucoma, laser iridectomy, lens intumesence, secondary angle-closure glaucoma

Abstract A 74-year-old woman visited her local physician complaining of fever, cough, headache, hyperemic left conjunctiva, and blurred vision. She was diagnosed as having common cold and medicated for it, and later, she visited our department. She had a shallow left anterior chamber with moderately dilated pupil. Gonioscopic examination of the left eye revealed a narrow angle corresponding to grade 1 by Shaffer grading system. Left intraocular pressure was 16 mmHg. She was diagnosed to have had a spontaneous recovery from a subacute attack of angle-closure glaucoma. Laser iridectomy was performed and she was put on a regular ophthalmological follow-up. Three years later, she experienced an attack of left angle-closure glaucoma secondary to lens intumescence. She was treated by phacoemulsification and aspitaion which resulted in the eventual cure.

Correspondence to Correspondence to Nobuo Shimizu, Department of Ophthalmology, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki-shi, Kanagawa 211-0063, Japan

ArticleTitle	Angle-closure Glaucoma: Important Points in the Diagnosis and Follow-up
AuthorList	Nobuo Shimizu, Mariko Higuchi, Kaori Wakayama, Haruhi Iwanami, Chiemi Yaguchi, Saori Horiguchi and Takumi Morita
Affiliation	Department of Ophthalmology, Nippon Medical School Second Hospital
Language	JA
Volume	70
Issue	5
Year	2003
Page	452-455
Received	December 3, 2002
Accepted	February 7, 2003
Keywords	common cold, angle-closure glaucoma, laser iridectomy, lens intumesence, secondary angle-closure glaucoma
Abstract	A 74-year-old woman visited her local physician complaining of fever, cough, headache, hyperemic left conjunctiva, and blurred vision. She was diagnosed as having common cold and medicated for it, and later, she visited our department. She had a shallow left anterior chamber with moderately dilated pupil. Gonioscopic examination of the left eye revealed a narrow angle corresponding to grade 1 by Shaffer grading system. Left intraocular pressure was 16 mmHg. She was diagnosed to have had a spontaneous recovery from a subacute attack of angle-closure glaucoma. Laser iridectomy was performed and she was put on a regular ophthalmological follow-up. Three years later, she experienced an attack of left angle-closure glaucoma secondary to lens intumescence. She was treated by phacoemulsification and aspitaion which resulted in the eventual cure.
Correspondence to	Correspondence to Nobuo Shimizu, Department of Ophthalmology, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki-shi, Kanagawa 211-0063, Japan