Acute angle closure glaucoma secondary to polypoidal choroidal vasculopathy - a devastating complication.
Acute angle closure glaucoma (ACG) in the setting of polypoidal choroidal vasculopathy (PCV) is a catastrophic complication that has been documented infrequently in literature. Ours is the second only report that describes hemorrhagic choroidal detachment as an event leading to acute angle closure glaucoma in PCV patients and the first one to describe the use of diode cyclophotocoagulation (CPC) for this condition. The purpose of this article is to familiarize readers with this entity that has an extremely dismal visual prognosis. Ours is a descriptive case report of two patients with PCV complicated by sudden onset hemorrhagic choroidal detachment (CD) and acute ACG. Both patients had severe pain with no perception of light at presentation with an acute angle closure attack. Both underwent diode CPC for pain relief and control of intraocular pressure (IOP). Both our patients did not regain any vision, but their pain was relieved by diode CPC. Both eyes eventually became phthisical. Acute ACG following massive hemorrhagic CD is a rare but grave complication of PCV, not amenable to treatment. Diode CPC is an effective palliative modality of management to achieve pain relief in such cases.
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.
Prabu
P
Baskaran
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.
Manavi D
MD
Sindal
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.
Pankaja
P
Dhoble
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.
Seema
S
Ramakrishnan
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.
Venkatesh
V
Rengaraj
Wilmer Eye Institute, John Hopkins University, Baltimore, USA.
Pradeep
P
Ramulu
angle closure glaucoma (ACG); hemorrhagic choroidal detachment (CD); polypoidal choroidal vasculopathy (PCV)