Published Paper Details:

Angle closure in a myopic patient is rare. Here is presented a report of one 37- years old female patient who presented with cloudiness of vision in both eyes (OU) since 2 months, associated with occasional ocular pain and heaviness around temporal region for 1 year. There was no history of ocular trauma. On presentation, her best corrected visual acuity was 6/9[ -4.50/-1.25x120] in Right eye and 6/9[-5.25DS] in Left Eye. Slit Lamp examination demonstrated a shallow anterior chamber [Van Herick Grade I] in both eyes. Moreover both the eyes exhibited shorter axial length with increased Lens vault and thickness. The intraocular pressures (IOP) recorded were 14mm Hg for right eye and 16 mm Hg for Left eye respectively. Gonioscopy revealed completely closed angles for both the eyes. However she was successfully treated with Peripheral Laser Iridotomy in both eyes to completely open her angles. This case demonstrates the uncommon presentation of narrow angles in a moderately myopic patient. The age and refractive error of this patient should immediately raise the possibility of an atypical cause of angle narrowing. In this case, the examination findings point to Microspherophakia with increased Lens vault as a cause of angle narrowing.