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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 1, January 2014 pp 25-26

Research Article

Acute Angle Closure Glaucoma Can Be a Cause of Red Painful Eye in a High Myope:

A Rare Combination

Hina Kauser¹, Waseem Anwar², Maniah Qadir³

¹Assistant Professor, ^2,3Senior Resident, Department Of Ophthalmology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard University, Hamdard Nagar, New Delhi -110062 INDIA.

Academic Editor : Dr. Bhanap P. L.

Primary angle closure (PAC) usually occurs in hypermetropic eyes, which have a short axial length and a shallow anterior chamber. In myopic eyes, the axial length is usually longer than average and the anterior chamber is usually deep; PAC is rarely observed in these eyes. We are reporting a case of 40 years of female presenting to our hospital with pain and decreased vision in one eye. The patient was diagnosed to have an acute attack of angle closure glaucoma. Investigations showed the patient to be a high myope of -14.5 D. Only few cases with acute angle closure glaucoma associated with high myopia have been reported and to my knowledge this is the youngest and most myopic patient reported till date in India having angle closure due to pupillary block. The case report of this patient illustrates that myopia does not exclude the presence of angle closure and this should be sought by gonioscopy by ophthalmologist and general physicians should also suspect that angle closure glaucoma could be one of the cause of red painful eye even though the patient is a known high myope.