ACUTE ANGLE CLOSURE CAN OCCUR EVEN POST PERIPHERAL IRIDOTOMY

This case study published in Biomedical Central Ophthalmology describes the following case:

A 56-year old Chinese female was diagnosed of primary angle closure glaucoma and had bilateral laser peripheral iridotomy one year ago. She presented with spontaneous onset of malignant glaucoma involving the left eye. The condition was treated successfully; the final best corrected visual acuity was 0.67 (decimal notation).

This case highlights that acute angle closure attack can occur in an eye with patent peripheral iridotomy. Early recognition and treatment is essential for good visual prognosis.