Acute angle-closure glaucoma in a patient with miller fisher syndrome without pupillary dysfunction.
OBJECTIVE
To report a case of an angle-closure glaucoma in a patient with Miller Fisher syndrome (MFS) without pupillary dysfunction.


METHODS
We present a case report of a 75-year-old male presenting with total ophthalmoplegia, complete bilateral ptosis, and gait disturbance. He was diagnosed with MFS without pupillary dysfunction, which precipitated unilateral acute angle-closure glaucoma (AACG) due to complete lid ptosis.


RESULTS
The initial ocular examination revealed hand motion in the right eye. Intraocular pressure, as assessed by Goldmann applanation tonometry, was 50 mm Hg, and gonioscopic findings revealed a closed angle on the right eye. After maximal tolerated medical therapy, laser peripheral iridotomy was performed. The unilateral AACG with MFS resolved without further incident.


CONCLUSIONS
This is the first reported case of a patient with MFS without autonomic dysfunction and AACG. We believe that pupillary dysfunction or lid ptosis due to neurological disorders may increase the possibility of AACG.
Departments of *Ophthalmology †Neurology, Dong-A University College of Medicine, Busan, Republic of Korea.
Won Yeol
WY
Ryu
Jong Kuk
JK
Kim
Sang Wook
SW
Jin
Dong Hyun
DH
Shim
D000208:Acute Disease; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006068:Gonioscopy; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007429:Intraocular Pressure; D053685:Laser Therapy; D008297:Male; D019846:Miller Fisher Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011681:Pupil Disorders / Q000150:complications*; D014065:Tonometry, Ocular
D000959:Antihypertensive Agents; D016756:Immunoglobulins, Intravenous