Answer: These findings suggest acute angle closure glaucoma, which is causing elevated intraocular pressures. However, the bilateral nature makes a secondary cause, such as drug induced, more likely. While bilateral acute angle closure glaucoma is possible, the presence of myopic shift from anterior rotation of the ciliary body, and ciliary effusions, confirms a secondary, non-pupillary block mechanism for this angle closure (see next page, Diagnosis & Conclusions, for a more in depth discussion).
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Case 9 Index