Suspected Primary Angle-closure Glaucoma (PACG) in Hyperopia before Pupil Widening (OCT)
Suspected Primary Angle-closure Glaucoma (PACG) in Hyperopia before Pupil Widening (OCT)
70 years of age, VA cc 1.0/1.0; applanation tonometrie IOP 8/12 mmHg; autorefraction RA +3.75-0.25/79°, LA +4.25-0.5/84°, no visual field defect, no glaucomatous optic nerve atrophy, shallow anterior chamber with suspected angle-closure.
AS OCT depicting no visible contact between the peripheral iris and any part of the angle wall anterior to the scleral spur.
There is no angle closure.
The criteria of diagnosing PACG are a concomitant presence of at least two of the following criteria: intraocular pressure ≥ 22 mmHg, glaucomatous optic disc abnormalities, glaucomatous visual field defects, and biomicroscopic or gonioscopic evidence of angle closure.
Michelson, Georg, Prof. Dr. med., Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Augenklinik, Friedrich-Alexander Universität Erlangen, Erlangen, Deutschland
