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Secondary Glaucoma


Presentation

  • Such tumors are rare in non-white races and secondary glaucoma is an uncommon presentation.[ncbi.nlm.nih.gov]
Lymphadenopathy
  • His lymphadenopathy decreased in size and the pleural effusion, scleritis, and secondary glaucoma resolved; however, his CNS disease was unresponsive. He was therefore given craniospinal irradiation with a total dose of 29.4 Gy.[ncbi.nlm.nih.gov]
Short Stature
  • Weill-Marchesani syndrome (WMS) is a rare systemic connective tissue disorder with the systemic features of short stature, short and stubby hands and feet and stiff joints, especially in the hands.[ncbi.nlm.nih.gov]
Pleural Effusion
  • Systemic evaluation revealed adult T-PLL with pulmonary, abdominal, and pelvic adenopathy; pleural effusion; and central nervous system (CNS) involvement.[ncbi.nlm.nih.gov]
Cough
  • Over three years, the patient experienced a progressive, marked face and neck swelling, which was accompanied by dyspnoea and nocturnal coughing.[ncbi.nlm.nih.gov]
Nausea
  • In the latter, the symptoms are those of acute glaucoma : ocular pain, which can extend to the nape of the neck and trigeminal, blurred vision, pupil dilation, change in iris colour, corneal hardening, nausea and vomiting, etc.[fernandez-vega.com]
  • […] not demonstrate any signs of, or be related to various symptoms: photophobia, tearing eyes appearing repeatedly, the appearance of gloom or rainbow wheels when looking at the sources of light, vision problems in the dark, eye pain, often very strong, nausea[health-factbook.com]
  • Here, the eye's drainage system gets suddenly blocked, swelling and reddening the affected eye and causing acute severe pain that often comes with nausea, diminished vision (central and side), and perceived halos around lights.[eyespecialists.org]
  • Symptoms can include sudden eye pain, nausea, headaches, and blurred vision. If you experience these symptoms, you should seek immediate medical treatment.[visionaware.org]
  • Symptoms include headache, intense eye pain, blurred vision, nausea, vomiting, and halos.[docshop.com]
Blurred Vision
  • A 33-year-old woman experienced blurred vision in her left eye. Intraocular pressure of the left eye was elevated accompanied with a very shallow anterior chamber.[ncbi.nlm.nih.gov]
  • In the latter, the symptoms are those of acute glaucoma : ocular pain, which can extend to the nape of the neck and trigeminal, blurred vision, pupil dilation, change in iris colour, corneal hardening, nausea and vomiting, etc.[fernandez-vega.com]
  • Sudden visual disturbance Blurred vision Halos around lights Red eyes Headache Either type of glaucoma can be primary or secondary disorder.[hartzelleye.com]
  • If you do notice any symptoms, they might include blurred vision, or seeing rainbow-coloured circles around bright lights. Both eyes are usually affected, although it may be worse in one eye.[nhs.uk]
Lacrimation
  • The aqueous humor should not be confused with tears, which are produced by the lacrimal glands under the upper eyelid outside of the eyeball itself.[medicinenet.com]
Visual Acuity Decreased
  • For one of these three eyes, visual acuity decreased to no light perception. But the remaining two eyes maintained better than 20/100 visual acuity, according to the study.[healio.com]
Pulsating Exophthalmos
  • A case of spontaneous carotid cavernous sinus fistula in a young adult male who presented with pulsating exophthalmos and secondary glaucoma is presented.[ncbi.nlm.nih.gov]
Neck Swelling
  • Over three years, the patient experienced a progressive, marked face and neck swelling, which was accompanied by dyspnoea and nocturnal coughing.[ncbi.nlm.nih.gov]
Headache
  • […] related to various symptoms: photophobia, tearing eyes appearing repeatedly, the appearance of gloom or rainbow wheels when looking at the sources of light, vision problems in the dark, eye pain, often very strong, nausea, abdominal pain, vomiting, headaches[health-factbook.com]
  • Headache in Sturge-Weber syndrome. Headache 1994;34:521-2. Martí-Bonmatí L, Menor F, Poyatos C, et al. Diagnosis of Sturge-Weber syndrome: comparison of the efficacy of CT and MR imaging in 14 cases. AJR Am J Roentgenol 1992;158:867-71.[eyewiki.org]
  • Symptoms can include sudden eye pain, nausea, headaches, and blurred vision. If you experience these symptoms, you should seek immediate medical treatment.[visionaware.org]
  • Symptoms include headache, intense eye pain, blurred vision, nausea, vomiting, and halos.[docshop.com]
  • Some people may have eye redness, discomfort, blurred vision, or a headache that lessens with sleep. The eye pressure may be normal but usually is higher in the affected eye.[merckmanuals.com]
Neglect
  • , the anterior chamber depth of the affected eyes was significantly shallower than the fellow eyes (1.34 0.45 vs. 2.27 0.44, P CONCLUSIONS: The causes of misdiagnosis in patients with acute angle-closure glaucoma secondary to subluxated lens include neglected[ncbi.nlm.nih.gov]

Workup

  • A systemic workup at that time (including computed tomography and bone scans) was negative for any signs of malignancy.[glaucomatoday.com]
Gnathostoma Spinigerum
  • We describe two patients who presented with acute anterior uveitis and secondary glaucoma caused by intracameral third stage larvae of Gnathostoma spinigerum. The parasites were successfully removed, with preservation of good visual acuity.[ncbi.nlm.nih.gov]
Pleural Effusion
  • Systemic evaluation revealed adult T-PLL with pulmonary, abdominal, and pelvic adenopathy; pleural effusion; and central nervous system (CNS) involvement.[ncbi.nlm.nih.gov]

Treatment

  • Patients underwent a mean of 2.15 treatment sessions per eye. Pretreatment intraocular pressure (IOP) was 30.2 (5.5) mm Hg before the first treatment, 30.5 (5.7) mm Hg before the second treatment, and 28.7 (6.3) mm Hg before the third treatment.[ncbi.nlm.nih.gov]

Prognosis

  • To study the frequency of ocular manifestations and the prognosis of secondary glaucoma in cases of carotid-cavernous fistula (CCF).[ncbi.nlm.nih.gov]
  • Prognosis Prognosis in secondary congenital glaucoma is guarded. Earlier age at onset of glaucoma usually is more difficult to manage. Patients need multiple procedures, each of which has its own risks.[emedicine.medscape.com]

Etiology

  • OBJECTIVE: Knowing and understanding the etiology and pathogenesis of neovascular secondary glaucoma. METHODS AND RESULTS: Review of the angiogenesis theory to understand the etiology and pathogenesis of neovascular secondary glaucoma.[ncbi.nlm.nih.gov]
  • Etiology See Pathophysiology section below.[eyewiki.aao.org]
  • .  Intractable glaucoma results due to formation of neovascular membrane involving the angle of anterior chamber  Etiology – Neovascularization of iris following retinal ischaemia, feature of  Proliferative diabetic retinopathy  Central retinal vein[slideshare.net]

Epidemiology

  • DESIGN: Population-based epidemiological survey. PARTICIPANTS: A random sample of residents 40 years or older from Tajimi, Japan.[ncbi.nlm.nih.gov]
  • Keywords: clinical (human) or epidemiologic studies: outcomes/complications • trauma • intraocular pressure 2012, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved.[iovs.arvojournals.org]
  • Aspects of epidemiology, pathogenesis and therapy. Dev Ophthalmol 1999; 30 : 91–109. 2. Okhravi N, Odufuwa B, McCluskey P, Lightman S. Scleritis. Surv Ophthalmol 2005; 50 (4): 351–363. 3. Wilhelmus KR, Grierson I, Watson PG.[nature.com]
  • Epidemiology Frequency United States Aniridia is rare, occurring in 1.8 per 100,000 live births; 50% of these patients develop glaucoma.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Amyloid associated with glaucoma may involve different pathophysiologic mechanisms. The elevated IOP may not respond well to medical therapy. Cautious surgical manipulation of the conjunctiva is warranted in these cases.[ncbi.nlm.nih.gov]
  • Pathophysiology, diagnosis, and management of glaucoma associated with Sturge-Weber syndrome. Int Ophthalmol. 2018 Feb. 38 (1):409-416. [Medline]. Kargi SH, Koc F, Biglan AW, Davis JS. Visual acuity in children with glaucoma.[emedicine.medscape.com]
  • Etiology See Pathophysiology section below.[eyewiki.aao.org]
  • The pathophysiology of UG remains unclear. Inflammation causes synechial damage in the angle, most often in the form of peripheral anterior synechiae (PAS).[reviewofoptometry.com]

Prevention

  • Treatment results were regarded as successful when secondary angle-closure glaucoma was prevented or responded to treatment. RESULTS: The mean age of those who underwent external SRFD was 3.1 /-1.8 years.[ncbi.nlm.nih.gov]

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