University of Iowa Health Care

Ophthalmology and Visual Sciences

Glaukomflecken - slit lamp only

This 41 year-old man had undergone a trabeculectomy with mitomycin C and had chronic post-operative hypotony. He was symptomatic from the hypotony with macular striae. For this reason a blood patch was performed on the left eye and at the same time the anterior chamber was filled with viscoelastic. After this procedure the patient had an intraocular pressure that went as high as 60 mmHg. Over the next several hours he was given maximum medical therapy and had fluid released from his paracentesis intermittently. Despite this it took almost 6-hours to make the patient comfortable and to attain a steady, normal intraocular pressure. The following week the patient was found to have glaukomflecken. With time as can be seen in the video this dissipated. Note: While these glaukomflecken are not from primary pupillary block angle closure this seems to be the most appropriate place to file this video.