Anterior segment optical coherence tomography documentation of Reverse Pupillary Block -A case of Pigment Dispersion Syndrome in a 10 year Old Child

  • Devendra Maheshwari Aravind Eye Hospital, Tirunelveli, Tamilnadu
  • Renagappa Ramakrishnan Aravind Eye Hospital, Tirunelveli, Tamilnadu
  • Neelam Pawar Aravind Eye Hospital, Tirunelveli, Tamilnadu
DOI: https://doi.org/10.35119/asjoo.v15i1.160
Keywords: Pigment dispersion syndrome, Keywords, Pigmentation, Posterior capsule, Posterior capsule, Neodymium Yttrium Yag laser peripheral iridotomy. Anterior segment optical coherence tomography., Neodymium Yttrium Yag laser peripheral iridotomy, Anterior segment optical coherence tomography

Abstract

We report a 10-year-old boy with unusually dense, bilateral central posterior capsule pigmentation associated with the characteristic clinical features of pigment dispersion syndrome, including Krukenberg’s spindle and dense trabecular pigmentation in both eyes. There was no history of trauma , laser or intraocular surgeries . The presence of posterior or backward bowing of iris suggested a reverse pupillary block mechanism of pigment dispersion syndrome. Nd Yag laser peripheral iridotomy was performed in both eyes to relieve reverse pupillary block. Anterior segment optical coherence tomography (AS-OCT) showed reversal of iris concavity after laser iridotomy.

Author Biographies

Devendra Maheshwari, Aravind Eye Hospital, Tirunelveli, Tamilnadu

Medical Officer, Glaucoma Departement

Renagappa Ramakrishnan, Aravind Eye Hospital, Tirunelveli, Tamilnadu
Head of Glaucoma Department
Neelam Pawar, Aravind Eye Hospital, Tirunelveli, Tamilnadu
Mediacl Officer, Pediatric Ophthalmology
Published
2016-01-20
How to Cite
Maheshwari, D., Ramakrishnan, R., & Pawar, N. (2016). Anterior segment optical coherence tomography documentation of Reverse Pupillary Block -A case of Pigment Dispersion Syndrome in a 10 year Old Child. Asian Journal of Ophthalmology, 15(1), 34-39. https://doi.org/10.35119/asjoo.v15i1.160
Issue
Vol 15 No 1 (2016)
Section
Case Reports/Case Series

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