The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Dr. Mahadhir
A 66 year-old woman
attended the government eye clinic for a glaucoma follow-up. She was treated
two years ago in a private hospital for left acute angle closure glaucoma
and she underwent laser treatment to lower the pressure. Post-laser, she
defaulted the follow-up and was on no medications. Examination revealed
bilateral early cataracts but normal intraocular pressures and normal C/D
ratios. Gonioscopy showed open but narrow angles of the trabecular meshworks.
Anterior segment showed patent laser iridotomies in both eyes and heavy
laser burnts to the periphery of the left irise. As there were no
records available regarding her treatment, we presumed the initial laser
iridotomy failed to reduce the intraocular pressure and therefore peripheral
iris laser was perform to cause iris contraction and open up the angle of
the trabecular meshwork.
Patent iridotomy at 10 O'clock
and heavy laser burnts to the perihperal iris.