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Rare case of right side Horner syndrome and simultaneous pigmentary glaucoma of the left eye

Poster Details

First Author: S.Gorezis GREECE

Co Author(s):    K. Moustaklis                    

Abstract Details

Purpose:

To report a rare case of simultaneous presence of Horner syndrome and pigmentary glaucoma and how this coexistence actually benefits the patient.

Setting:

Epirus Vision Center, Stavrou Niarchou 92, Ioannina,Greece

Methods:

A 37 years old man presented to the office for routine examination. Clinical examination showed anisocoria, heterochromia iridum and ptosis of the right eyelid, consisted with right side Horner�â�€�™s syndrome. Slit lamp examination revealed Krukenberg�â�€�™s spindle and hypertony (36mmHg) in the left eye consisted with pigmentary glaucoma of the left eye. Neither signs of pigmentary glaucoma nor even pigment dispersion signs were found in the right eye. Follow up examinations during three years�â�€�™ time period did not reveal pigment dispersion or intraocular pressure higher than 18mmHg. The left eye pressure is controlled with prostaglandin analog- latanoprost.

Results:

We expect pigment dispersion that leads to pigmentary glaucoma to be a bilateral condition. However in this case, it seems that the myosis caused to the right eye by the interruption of the sympathetic nerve supply actually protects the right eye from developing pigment dispersion syndrome and high ocular pressure.

Conclusions:

This rare case provides us with insight to the etiology of pigment dispersion syndrome and pigmentary glaucoma and how even pathological early year myosis may protect potential patients.

Financial Disclosure:

NONE

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