This 57 year-old man had been noted to have an elevated intraocular pressure in his right eye only since 2000. In 2006 he was noted to have an intraocular pressure of 34 mmHg in the right eye. On examination he has 20/40 vision in the right eye and 20/20 vision in the left eye. His intraocular pressure on three medications is 12 mmHg OD and 8 mmHg OS. The right eye has corectopia and iris nodules. He has mild corneal edema and the hammered silver appearance to his corneal endothelium. He was diagnosed with Cogan-Reese variant of the iridocorneal endothelial syndrome.
Courtesy of Young H. Kwon, MD, PhD. The University of Iowa