DR. BARNITA DAS

Dr.PRATHIMA LINGA, Dr.SUPERNA MAHENDRA, Dr. VENKATA RATHNAM PERAM

Abstract

We report a case of Developmental Glaucoma with angle dysgenesis BE, in a 27 years old male presenting with progressive diminution of vision(LE>RE). He was using Combigan(Brimonidine tartrate 0.2%+Timolol maleate 0.5%) drop in both eyes for the last 4 years. Vision was RE:6/6 and LE:PL-ve and both eyes had posterior embryotoxon. The IOP at presentation was RE: 48mmHg and LE: 58mmHg and a gonioscopic picture of anterior iris insertion with pigmented Schwalbe’s line BE was seen. The right eye had near-total cupping and left eye had no view due to total cataract which showed disc excavation in B-scan. Advanced field loss was evident in RE HVF-24-2. His mother and brother have the same iris configuration with advanced glaucoma in mother. His late presentation and improper usage of medicines made left eye vision unrecoverable. He was managed medically and counselled about regular follow-ups for him and his family. A genetic study was advised for the family to rule out the Axenfeld anomaly.