Nanophthalmos, uveal effusion syndrome, and acute angle closure glaucoma (ACG) can present as a continuum in a patient, as is described here. This patient's angle closure was thought to be caused by idiopathic uveal effusion syndrome, and while there are no generally accepted diagnosis criteria for nanophthalmos, our patient fulfilled the criteria as defined by Wu.10 To prevent development of further angle closure, the decision was made to do cataract extraction as opposed to medical management.
Nouri-Mahdavi K, Nilforushan N, Razeghinejad MR, Amini H, Perera SA. Glaucoma in a patient with nanophthalmos. J Ophthalmic Vis Res 2011 Jul;6(3):208-214.
Nihalani BR, Jani UD, Vasavada AR, Auffarth GU. Cataract surgery in relative anterior microphthalmos. Ophthalmology 2005 Aug;112(8):1360-1367.
Shields MB. Textbook of glaucoma. 4th ed. Baltimore (MD): Lippincott, Williams & Wilkins; 1998.
Wu W, Dawson DG, Sugar A, Elner SG, Meyer KA, McKey JB, Moroi SE. Cataract surgery in patients with nanophthalmos: results and complications. J Cataract Refract Surg 2004 Mar;30(3):584-590.
See JLS, Chew PTK. Angle-closure glaucoma. In: Yanoff M, Duker J, editors. Ophthalmology. 3rd ed. St Louis (MO): Mosby Elsevier; 2009.
Ursin KV. On “spontaneous” choroidal detachment after glaucoma in the light of an exceptional case. Acta Ophthalmol (Copenh) 1965;43(6):751-760.
Pavlin CJ, Easterbrook M, Harasiewicz K, Foster FS. An ultrasound biomicroscopic analysis of angle-closure glaucoma secondary to ciliochoroidal effusion in IgA nephropathy. Am J Ophthalmol 1993 Sep 15;116(3):341-345.
Amerasinghe N, Aung T. Angle-closure: risk factors, diagnosis and treatment. Prog Brain Res 2008;173:31-45.
Asai M, Tsujiguchi R, Taniguchi Y. Choroidal detachment developed in a case of acute closed angle glaucoma [in Japanese]. Jpn J Clin Ophthalmol 1988;42:1383-1386.
Sakai H, Morine-Shinjyo S, Shinzato M, Nakamura Y, Sakai M, Sawaguchi S. Uveal effusion in primary angle-closure glaucoma. Ophthalmology 2005 Mar;112(3):413-419.
Quigley HA, Silver DM, Friedman DS, He M, Plyler RJ, Eberhart CG, Jampel HD, Ramulu P. Iris cross-sectional area decreases with pupil dilation and its dynamic behavior is a risk factor in angle closure. J Glaucoma 2009 Mar;18(3): 173-179.
Sihota R, Dada T, Aggarwal A, Srinivasan G, Gupta V, Chabra VK. Does an iridotomy provide protection against narrowing of the anterior chamber angle during Valsalva maneuvre in eyes with primary angle closure. Eye 2008;22(3):389-393.
Quigley HA, Friedman DS, Congdon NG. Possible mechanisms of primary angle-closure and malignant glaucoma. J Glaucoma 2003 Apr;12(2):167-180.
Uyama M, Takahashi K, Kozaki J, Tagami N, Takada Y, Ohkuma H, Matsunaga H, Kimoto T, Nishimura T. Uveal effusion syndrome: clinical features, surgical treatment histologic examination of the sclera, and pathophysiology. Ophthalmology 2000 Mar;107(3):441-449.
Chen MJ, Liu CJ, Cheng CY, Lee SM. Corneal status in primary angle-closure glaucoma with a history of acute attack. J Glaucoma 2012 Jan;21(1):12-16.
Yuzbasioglu E, Artunay O, Agachan A, Bilen H. Phacoemulsification in patients with nanophthalmos. Can J Ophthalmol 2009 Oct;44(5):534-539.