Document Detail

Transient optic nerve swelling after acute primary angle-closure.
MedLine Citation:
PMID:  23145799     Owner:  NLM     Status:  Publisher    
Optic nerve head swelling after acute primary angle-closure (APAC) has been associated with significant visual loss. We provide the first description of a good visual outcome following transient isolated optic nerve swelling associated with APAC. A 64 year-old man presented with right eye pain and poor vision for a day. Examination revealed right eye conjunctival injection, corneal microcystic oedema and non-reactive and mid-dilated pupil. Best corrected visual acuity (BCVA) was 6/21 in the right eye and 6/9 in the left eye. Intra-ocular pressure (IOP), measured using Goldmann applanation tonometry, was 64mmHg in the right eye and 12mmHg in the left eye. Gonioscopy revealed bilateral iridocorneal apposition. The diagnosis of right APAC was made. He was treated with intravenous acetazolamide, topical brimonidine, timolol, prednisolone acetate 1% and pilocarpine 4%. 80 minutes later, cornea clarity improved following a reduction of IOP to 47 mmHg, allowing sequential argon-YAG peripheral iridotomy (PI) of the right eye to be performed. 14 hours after PI, IOP was 11 mmHg.
Charmaine Hc Chai; Chelvin Ca Sng; Hazel Anne Lin; Paul Tk Chew
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Publication Detail:
Type:  LETTER     Date:  2012-11-13
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  -     ISSN:  1442-9071     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Clinical and Experimental Ophthalmology © 2012 Royal Australian and New Zealand College of Ophthalmologists.
National University Hospital, Department of Ophthalmology, Singapore.
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