색소녹내장이 동반된 홍채각막내피증후군 1예

• 영문명: A Case of Iridocorneal Endothelial Syndrome with Pigmentary Glaucoma
• 발행기관: 대한안과학회
• 저자명: 김지연 강자헌,Ji Yeon Kim, M.D., Ja Heon Kang, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number10, 1696~1702쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2006.10.31

영문 초록

Purpose: To report a case of iridocorneal endothelial syndrome with pigmentary glaucoma. Methods: We encountered a 44-year-old unilateral glaucoma patient who complained of intermittently decreased visual acuity in the right eye. For differential diagnosis, we carried out ophthalmic and systemic examination. Results: Binocular corrected visual acuity was 1.0. His intraocular pressure, measured using a Goldmann applanation tonometer, was 50 mm Hg in the right eye and 18mm Hg in the left. Upon examination of the right eye, we found pigments with a Krukenberg`s spindle appearance on the corneal endothelium, peripheral anterior synechia extending beyond Schwalbe`s line, trabecular hyperpigmentation, endothelial pleomorphism, polymegathism, cell loss, dark area within the cells, a light central spot and light peripheral zone, retinal nerve fiber layer defects, and visual field defects, which together led to the diagnosis of iridocorneal endothelial syndrome with pigmentary glaucoma. We observed progressed glaucomatous injury upon examination of the disc stereo photograph, retinal nerve fiber layer photograph, and visual field test, even though we used topical IOP reducers. Eventually, we performed a trabeculectomy in the right eye. Conclusions: We experienced a case of iridocorneal endothelial syndrome with unilateral pigmentary glaucoma. The glaucoma was not well-controlled with topical IOP reducers. The glaucoma was then treated by a trabeculectomy. We report this case with a review of the literature.

키워드

Iridocorneal endothelial syndrome, Pigmentary glaucoma