Bilateral Iridocorneal Endothelial Syndrome
Objectives: We presented a case of bilateral iridocorneal endothelial (ICE) syndrome with secondary glaucoma and discussed its clinical presentation and management. Study design: This is a case report. Results: A 12-year old female consulted for a one-year history of progressive blurring of vi...
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| Format: | Article |
| Language: | English |
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Philippine Academy of Ophthalmology
2022-12-01
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| Series: | Philippine Journal of Ophthalmology |
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| Online Access: | https://paojournal.com/index.php/pjo/article/view/54 |
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| author | Theresa Gladiola B. Merca, MD Manuel B. Agulto, MD Rainier Victor A. Covar, MD, MMed |
| author_facet | Theresa Gladiola B. Merca, MD Manuel B. Agulto, MD Rainier Victor A. Covar, MD, MMed |
| author_sort | Theresa Gladiola B. Merca, MD |
| collection | DOAJ |
| description | Objectives: We presented a case of bilateral iridocorneal endothelial (ICE) syndrome with secondary glaucoma and discussed its clinical presentation and management.
Study design: This is a case report.
Results: A 12-year old female consulted for a one-year history of progressive blurring of vision in both eyes associated with abnormal pupils and occasional eye pain. Polycoria, shallow anterior chambers, increased intraocular pressures (IOP), areas of closed angles on gonioscopy, and increased cup-to-disc ratio in both eyes indicative of ICE syndrome were present. Management included anti-glaucoma medications and implantation of glaucoma drainage devices (GDD).
Conclusion: Early detection with regular follow-ups leading to prompt management of the ICE syndrome are necessary. IOP control may be challenging due to the nature of the disease and may require multiple surgeries including GDD implantation to achieve successful outcomes. Early use of GDD may be beneficial for pediatric patients with ICE and glaucoma, and may require additional surgeries to adequately manage the IOP. |
| format | Article |
| id | doaj-art-2c1093c0d35245869e0617f46f3d4fc3 |
| institution | DOAJ |
| issn | 0031-7659 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-2c1093c0d35245869e0617f46f3d4fc32025-08-20T02:57:18ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592022-12-014729710054Bilateral Iridocorneal Endothelial SyndromeTheresa Gladiola B. Merca, MD0Manuel B. Agulto, MD1Rainier Victor A. Covar, MD, MMed2Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital, ManilaDepartment of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital, Manila; Philippine Eye Research Institute, University of the Philippines Manila, Manila Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital, Manila Objectives: We presented a case of bilateral iridocorneal endothelial (ICE) syndrome with secondary glaucoma and discussed its clinical presentation and management. Study design: This is a case report. Results: A 12-year old female consulted for a one-year history of progressive blurring of vision in both eyes associated with abnormal pupils and occasional eye pain. Polycoria, shallow anterior chambers, increased intraocular pressures (IOP), areas of closed angles on gonioscopy, and increased cup-to-disc ratio in both eyes indicative of ICE syndrome were present. Management included anti-glaucoma medications and implantation of glaucoma drainage devices (GDD). Conclusion: Early detection with regular follow-ups leading to prompt management of the ICE syndrome are necessary. IOP control may be challenging due to the nature of the disease and may require multiple surgeries including GDD implantation to achieve successful outcomes. Early use of GDD may be beneficial for pediatric patients with ICE and glaucoma, and may require additional surgeries to adequately manage the IOP.https://paojournal.com/index.php/pjo/article/view/54iridocorneal endothelial syndromeprogressive iris atrophyglaucoma drainage devicessecondary glaucoma |
| spellingShingle | Theresa Gladiola B. Merca, MD Manuel B. Agulto, MD Rainier Victor A. Covar, MD, MMed Bilateral Iridocorneal Endothelial Syndrome Philippine Journal of Ophthalmology iridocorneal endothelial syndrome progressive iris atrophy glaucoma drainage devices secondary glaucoma |
| title | Bilateral Iridocorneal Endothelial Syndrome |
| title_full | Bilateral Iridocorneal Endothelial Syndrome |
| title_fullStr | Bilateral Iridocorneal Endothelial Syndrome |
| title_full_unstemmed | Bilateral Iridocorneal Endothelial Syndrome |
| title_short | Bilateral Iridocorneal Endothelial Syndrome |
| title_sort | bilateral iridocorneal endothelial syndrome |
| topic | iridocorneal endothelial syndrome progressive iris atrophy glaucoma drainage devices secondary glaucoma |
| url | https://paojournal.com/index.php/pjo/article/view/54 |
| work_keys_str_mv | AT theresagladiolabmercamd bilateraliridocornealendothelialsyndrome AT manuelbagultomd bilateraliridocornealendothelialsyndrome AT rainiervictoracovarmdmmed bilateraliridocornealendothelialsyndrome |