Hypopyon--an unusual sign in acute angle-closure glaucoma.
The appearance of a hypopyon is an extremely uncommon finding in acute angle-closure glaucoma and only a few cases have been previously reported in the literature. We report a fifty-year-old female who, following a recent bereavement, presented with classical features of acute angle-closure glaucoma and a hypopyon. The eye developed a glaukomflecken and the patient underwent trabeculectomy, extracapsular cataract extraction and intraocular lens implantation with good post-operative results. Because hypopyon in acute angle-closure glaucoma is rare and may cause diagnostic confusion and hence therapeutic difficulties, this case is described to highlight this unusual clinical sign.
Au Eong
K G
KG
Singapore National Eye Centre.
Chua
E C
EC
Yip
C C
CC
Tun
Y
Y
Lim
A S
AS
D000208:Acute Disease; D000867:Anterior Chamber / Q000473:pathology* / Q000601:surgery; D002387:Cataract Extraction; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007910:Lenses, Intraocular; D008875:Middle Aged; D013492:Suppuration; D014130:Trabeculectomy