A case of angle closure glaucoma caused by plateau iris and adie's pupil.
OBJECTIVE
To describe a case of plateau iris associated with bilateral Adie's pupil.


METHODS
Interventional case report.


METHODS
A 54-year-old woman presented with pain in her right eye and headache. Intraocular pressure was 34 mm Hg in the right eye. Light reflex was defective bilaterally.


RESULTS
Ultrasound biomicroscopic imaging revealed normal anterior chamber depth and narrow angle. The ciliary processes were situated anteriorly. The eyes showed supersensitivity to 0.125% pilocarpine. The patient was diagnosed as having bilateral angle-closure glaucoma induced by Adie's pupil and plateau iris.


CONCLUSIONS
Mild pupillary dilation caused by Adie's pupil may have played a role in the development of angle closure in the plateau iris configuration of our patient.
Kawana
Keisuke
K
Department of Ophthalmology, University of Tsukuba, Ibaraki, Japan. kawana@sky.plala.or.jp
Okamoto
Fumiki
F
Nose
Harumi
H
Oshika
Tetsuro
T
D000867:Anterior Chamber / Q000000981:diagnostic imaging; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D007499:Iris Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D008875:Middle Aged; D018721:Muscarinic Agonists / Q000627:therapeutic use; D010862:Pilocarpine / Q000627:therapeutic use; D012025:Reflex, Pupillary; D015845:Tonic Pupil / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014463:Ultrasonography
D018721:Muscarinic Agonists; D010862:Pilocarpine