Abnormal Tonometry & No Cataracts: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Abnormal Tonometry, No Cataracts,

Negated

None

Unsure

None

Possible Causes

Glaucoma

Tonometry and ophthalmoscopy are normal parts of a routine comprehensive eye examination. [eyecarespecialists.net]

[…] and cataract. [ncbi.nlm.nih.gov]

abnormally elevated. [ncbi.nlm.nih.gov]

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Open-Angle Glaucoma

Any elevation of Intraocular Pressure (IOP) is considered “abnormal. [bweyecenter.com]

cataract. [ncbi.nlm.nih.gov]

Any elevation of Intraocular Pressure (IOP) is considered "abnormal". [dambrosio-eye-care-boston.com]

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Angle Closure Glaucoma

Her fluorescein stain reveals no abnormal uptake. Fundoscopic exam is difficult due to corneal haziness. Tonometry in the L eye shows a pressure of 28 mmHg. [emdocs.net]

DESIGN: Cross-sectional study PARTICIPANTS: This study included 103 PAC or PACG patients who had undergone cataract surgery. [ncbi.nlm.nih.gov]

Intraocular Pressure Abnormal clinical signs include intraocular pressure in any of the following presentations: IOP above 22 mm Hg as measured by applanation tonometry Measurements [decisionmakerplus.net]

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Acute Angle Closure Glaucoma

Her fluorescein stain reveals no abnormal uptake. Fundoscopic exam is difficult due to corneal haziness. Tonometry in the L eye shows a pressure of 28 mmHg. [emdocs.net]

She underwent penetrating keratoplasty combined with cataract extraction, anterior segment reconstruction with a custom artificial iris implantation. [ncbi.nlm.nih.gov]

Learning Assessment Clinical skills such as gonioscopy, tonometry, anterior segment OCT and UBM may be tested in a proficiency clinical exam Knowledge base of the condition [journal.opted.org]

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Secondary Glaucoma

AIM: To determine the prevalence and risk factors associated with secondary glaucoma postcongenital cataract surgery. [ncbi.nlm.nih.gov]

/ [Evolution of secondary pseudoexfoliative glaucoma after cataract surgery in patients with cataract-glaucoma combination]. [pesquisa.bvsalud.org]

Abstract Secondary glaucoma constitutes major sight-threatening complication of pediatric cataract surgery, yet the etiology remains unclear. [ncbi.nlm.nih.gov]

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Vitreous Hemorrhage

Abstract We describe the surgical technique of using an illuminated infusion chandelier for cataract extraction in patients with absent red reflex due to vitreous hemorrhage [ncbi.nlm.nih.gov]

Advanced Lens Implants for Cataract Surgery Dr. [boiselasik.com]

After cataract extraction and placement of a posterior chamber intraocular lens, a 70-year-old man had 5 vitreous hemorrhages over 3 years. [ncbi.nlm.nih.gov]

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Endophthalmitis

Most patients with endophthalmitis following pediatric cataract surgery were 2 to 4 years of age (36.4%). [ncbi.nlm.nih.gov]

CONCLUSIONS: This prospective survey identified the current perioperative practices representing cataract surgery and the incidence of endophthalmitis following cataract surgery [ncbi.nlm.nih.gov]

Cataract. Last full review/revision July 2014. www.merckmanuals.com/professional/eye-disorders/cataract/cataract. Accessed February 24, 2016. 3. U.S. [uspharmacist.com]

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Hydrophthalmos

cataract, or after linear extraction. [books.google.com]

1 [Cataract surgery in glaucoma patients. [malacards.org]

[…] dense cataracts. [umkelloggeye.org]

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Granulomatous Iritis

Posterior subcapsular cataracts may be present if the patient has had repeated episodes of iritis or ongoing chronic inflammation. [emedicine.medscape.com]

Associated ocular complications (eg, cataracts, corneal decompensation, glaucoma, chronic cystoid macular edema, hypotony, optic neuropathy) may result in severe vision loss [emedicine.medscape.com]

Vision Visual acuity may range from normal to significantly reduced, depending on the extent of the ocular inflammation and complications such as cataract, glaucoma, and cystoid [emedicine.medscape.com]

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Intraocular Medulloepithelioma

Hone and expand your surgical skills by watching 40 brand-new videos demonstrating key techniques in cornea, cataract, refractive, retina and glaucoma surgery. [books.google.com]

[…] disease, including new drug therapies for retinal disorders; today's expanded uses of optical coherence tomography (OCT) and high-resolution imaging modalities; new corneal, cataract [books.google.com]

When present with or without a cataract, cyclitic membranes may be mistaken for a persistent hyperplastic primary vitreous, retinoblastoma or Coat’s disease. [omicsonline.org]

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Retinoblastoma

After the last SIAC, diffuse dense cataract prevented further funduscopy. [ncbi.nlm.nih.gov]

[…] identified in this patient, the quiescent interval was only 12 months prior to cataract surgery. [crstodayeurope.com]

Following recent negative magnetic resonance imaging (MRI), her cataract was removed. She was then found to have tumor recurrence. [ncbi.nlm.nih.gov]

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Retinal Hemorrhage

Abstract Lensectomy and anterior vitrectomy were performed on 13 eyes of 10 consecutive children, aged 10 years or less, with congenital or acquired nontraumatic cataracts [ncbi.nlm.nih.gov]

Twitter Bryn Mawr Communications, LLC Cataract & Refractive Surgery Today Europe Retina Today Glaucoma Today Advanced Ocular Care Eyewire Millennial Eye [eyetube.net]

[…] and complete dilated fundus examination is imperative to rule out retinal breaks as well as a choroidal rupture, said Maynard Pohl, OD, clinical director of the Pacific Cataract [healio.com]

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Eyeball Injury

If the injury causes formation of a cataract, the cataract may be need to be removed later and replaced with a lens implant. [eyeporter.com]

Lens Injury (Cataract) Cataract (cloudy lens) or Lens Dislocation can occur immediately after or sometimes in a delayed fashion after blunt or penetrating injury to the eye [sanantonioeyeinstitute.com]

For many but not all trauma victims the lens can be replaced by a prosthetic intraocular lens implant, similar to the lens that is used to restore vision from cataracts common [retinaspecialistsmd.com]

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Eye Neoplasm

They have done the first surgery which was to reattach his retna and remove the cataract. [youcaring.com]

wall of the eye) to invade the tissues around the eye Ciliary body melanoma can: Press on the lens, to displace and distort the lens, which becomes cataractous (i.e., cloudy [looc.uk.com]

This symptom is common with a myriad of eye disorders like cataract etc. They need careful evaluation to exclude eye cancers especially among those at risk. [news-medical.net]

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Diabetic Cataract

Tonometry is a method used to measure the pressure inside the eye. If the pressure is increased, it may indicate glaucoma. [emedicinehealth.com]

Various visual disturbances may be noted in diabetic cataract, and the diagnosis requires a slit-lamp examination. [symptoma.com]

RESULTS: Six patients (1%) needed cataract surgery. [ncbi.nlm.nih.gov]

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Retinitis Pigmentosa

Fundus photography was used to document abnormal fundus findings. Table 1 presents the clinical patient information. [doi.org]

[…] between the cataract surgery and control groups (P .23). [ncbi.nlm.nih.gov]

Purpose: Posterior subcapsular cataract (PSC) is a frequent complication in patients with retinitis pigmentosa (RP). [ncbi.nlm.nih.gov]

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Acute Glaucoma

Her fluorescein stain reveals no abnormal uptake. Fundoscopic exam is difficult due to corneal haziness. Tonometry in the L eye shows a pressure of 28 mmHg. [emdocs.net]

Acute glaucoma due to an intumescent cataract should be treated medically or by peripheral iridectomy. [ncbi.nlm.nih.gov]

If you have a cataract then cataract surgery will also prevent attacks of angle closure glaucoma. [goodhopeeyeclinic.org.uk]

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Ectopia Lentis

Gonioscopy and Tonometry could not be done. Fundi were normal. General examination did not reveal any congenital anomalies of any system. [ijo.in]

J Cataract Refract Surg. 2007 May. 33(5):819-24. [Medline]. Ectopia lentis. Dislocated traumatic lens (cataract). Ectopia lentis. [emedicine.com]

A complete ophthalmic examination should always be performed, including Schirmer tear test and tonometry. [vin.com]

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Pellucid Marginal Degeneration

The intraocular pressure by applanation tonometry was normal in both eyes. [nature.com]

I report a case of pellucid marginal degeneration (PMD) with cataract that was successfully treated with implantation of an ultra-high-power customized bitoric AT.Comfort [ncbi.nlm.nih.gov]

METHODS: Eleven eyes (eight patients) diagnosed as stable PMD and cataract underwent mini-incision 2.2 mm cataract surgery followed by the implantation of hydrophobic toric [ncbi.nlm.nih.gov]

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Cerulean Cataract

Intraocular pressures were 8 mmHg by Perkins tonometry. Even after dilation, a poor red reflex was seen, and retinoscopy could not be performed. [molvis.org]

Prognosis - Cerulean cataract The \'prognosis\' of Cerulean cataract usually refers to the likely outcome of Cerulean cataract. [checkorphan.org]

Johns, MD File Size: 62 KB Related: Cerulean cataract, Developmental defects Cataract/Anterior Segment View Full Image Image License and Citation Guidelines Add to My To-Do [aao.org]

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Sympathetic Ophthalmia

The left eye was firm digitally and intraocular pressure in the right eye was 12 mmHg on applanation tonometry. [sjopthal.net]

Cataract surgery was performed in 17 sympathizing eyes and 1 exciting eye (17 patients). The records of these 18 eyes were retrospectively analyzed. [ncbi.nlm.nih.gov]

A 50-year-old man developed SO two months after complicated cataract surgery and IOL implantation. [ncbi.nlm.nih.gov]

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Marchesani-Weill Syndrome

The patient had been treated with latanoprost 0.005% for 2 weeks, and IOPs were 36 mm Hg in the right eye and 35 mm Hg in the left eye by Goldmann tonometry. [healio.com]

Channels: Cataract Surgery, Refractive Posted 5/8/2012 This video demonstrates the use of a femtosecond laser in a patient with Weill- Marchesani syndrome and subluxated cataract [eyetube.net]

[…] the use of femtosecond laser in a patient with Weill-Marchesani syndrome and subluxated cataract. [aao.org]

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Hypoparathyroidism

The intraocular pressure with non-contact tonometry in the both eyes was 16 mmHg. Dilated fundus examination did not reveal any abnormality in the both eyes. [omicsonline.org]

Abstract Cataract is a cardinal manifestation of hypoparathyroidism. [ncbi.nlm.nih.gov]

Signs and symptoms include muscle cramps, abdominal pain, dry skin, brittle nails, cataracts, tetany, and convulsions Condition produced by greatly reduced function of the [icd9data.com]

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Ocular Chalcosis

How to take an accurate Goldmann tonometry reading? Blephs, Tucks, and Ptosis Repairs Abnormal Pupillary Exams What is nystagmus? [eyecancercure.com]

Examination revealed the presence of typical sunflower cataract with golden yellow deposits over the anterior lens capsule with dull glow and old vitreous hemorrhage. [ncbi.nlm.nih.gov]

"Sunflower cataract." [docslide.net]

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Werner Syndrome

Choroidal abnormalities of NF1 are often difficult to detect via fundus biomicroscopic examination and fluorescein angiography (Figure 3). [hindawi.com]

Here, we report a successful management of hypermature cataract in WS. [ncbi.nlm.nih.gov]

Abstract Owing to many investigations and experiments our knowledge of cataract formation has greatly progressed during the past decades. [doi.org]

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Congenital Optic Disc Coloboma

Lang stereo test showed gross abnormality in stereopsis. His performance on Ishihara colour test using both eyes together was poor. [nigerianjournalofophthalmology.com]

[…] detachment : thought to arise because of the communication between the subretinal, subarachnoid, and vitreous spaces persistent hyperplastic primary vitreous congenital cataract [radiopaedia.org]

Provides enhanced coverage of cataracts, including advances in phacoemulsification and surgical complications. [books.google.de]

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Iris Atrophy

No abnormalities were observed in the anterior chamber architecture. [scielo.br]

MAIN OUTCOME MEASURES: Development of cataract during management of Acanthamoeba keratitis. [ncbi.nlm.nih.gov]

Iris atrophy and a nuclear cataract were seen on examination. [ncbi.nlm.nih.gov]

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Coloboma of Optic Papilla

Goldmann applanation tonometry revealed normal intraocular pressures of 16 mm Hg bilaterally. [karger.com]

Coloboma of the posteior pole is associated with an increased risk for retinal detachment with occurs in 23-42% of patients. [17] Iris coloboma with cataract. [eyewiki.aao.org]

The last case of all refers to 79 years-old-woman with an optic pit in her OD, completely asymptomatic and without macular changes, who has BCVA of 1.0 after cataract surgery [evrs.eu]

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Foveal Retinoschisis

[…] underwent a complete ophthalmic examination including visual acuity assessment, refraction, slit-lamp biomicroscopy, gonioscopy, Goldmann applanation tonometry, and dilated [journals.plos.org]

Go to website EUREQUO European Registry Funded by the ESCRS for improving quality of cataract and refractive surgery. [escrs.org]

OCT showedbilateral foveal schisis, and the electroretinogram wasborderline electronegative.The right cataract of patient 1 was deemed visually significant, and cataract extraction [docslide.net]

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Rieger Syndrome

Most importantly, ultrasonic biomicroscope (UBM) was first used to show the abnormalities of anterior segment in this syndrome. [ncbi.nlm.nih.gov]

To describe ultrasound biomicroscopy (UBM) features in a patient with Axenfeld-Rieger syndrome (ARS) and cataract before and after anterior segment surgery using intraocular [ncbi.nlm.nih.gov]

To our knowledge no case of congenital cataract with associated AxenfeldRieger anomaly is reported, so this is probably the first case report. [ophthalmologypakistan.com]

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