Aqueous misdirection syndrome: an interesting case presentation

Prima Moinul,1 Cindy ML Hutnik2 1Faculty of Medicine, University of Calgary, Calgary, AB, Canada; 2Ivey Eye Institute, St Joseph’s Health Care, Department of Ophthalmology, University of Western Ontario, London, ON, Canada Objective: To report a case of an aqueous misdirection-like prese...

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Autores principales:	Moinul P, Hutnik CML
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/abdee3050532441abc43951ee86e2bf4
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spelling	oai:doaj.org-article:abdee3050532441abc43951ee86e2bf42021-12-02T06:49:30ZAqueous misdirection syndrome: an interesting case presentation1177-5483https://doaj.org/article/abdee3050532441abc43951ee86e2bf42015-01-01T00:00:00Zhttp://www.dovepress.com/aqueous-misdirection-syndrome-an-interesting-case-presentation-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Prima Moinul,1 Cindy ML Hutnik2 1Faculty of Medicine, University of Calgary, Calgary, AB, Canada; 2Ivey Eye Institute, St Joseph’s Health Care, Department of Ophthalmology, University of Western Ontario, London, ON, Canada Objective: To report a case of an aqueous misdirection-like presentation in a pseudophakic patient.Design: Retrospective case review.Participant: An 84-year-old pseudophakic gentleman presented with bilateral blurred vision 8 years after cataract surgery. A refractive shift with shallow anterior chambers and elevated intraocular pressures were noted. No corneal edema was noted. Although aqueous suppression and topical atropine would relieve the signs and symptoms, the effect was temporary with fluctuating and variable changes in refraction, anterior chamber depth, and intraocular pressure. The presence of patent iridotomies had no effect on the fluctuations. A pars plana vitrectomy and surgical iridectomy were successful in preventing further fluctuations.Conclusion: Aqueous misdirection is a form of secondary angle closure glaucoma marked by elevated intraocular pressures, myopic shift in refraction, and central shallowing of the anterior chamber. Here, a case of a pseudophakic patient experiencing bilateral and fluctuating signs and symptoms resembling aqueous misdirection is presented. Surgical intervention with a pars plana vitrectomy and iridectomy prevented further fluctuations. Keywords: aqueous misdirection, glaucoma, pars plana vitrectomy, secondary angle closureMoinul PHutnik CMLDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 183-186 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Moinul P Hutnik CML Aqueous misdirection syndrome: an interesting case presentation
description	Prima Moinul,1 Cindy ML Hutnik2 1Faculty of Medicine, University of Calgary, Calgary, AB, Canada; 2Ivey Eye Institute, St Joseph’s Health Care, Department of Ophthalmology, University of Western Ontario, London, ON, Canada Objective: To report a case of an aqueous misdirection-like presentation in a pseudophakic patient.Design: Retrospective case review.Participant: An 84-year-old pseudophakic gentleman presented with bilateral blurred vision 8 years after cataract surgery. A refractive shift with shallow anterior chambers and elevated intraocular pressures were noted. No corneal edema was noted. Although aqueous suppression and topical atropine would relieve the signs and symptoms, the effect was temporary with fluctuating and variable changes in refraction, anterior chamber depth, and intraocular pressure. The presence of patent iridotomies had no effect on the fluctuations. A pars plana vitrectomy and surgical iridectomy were successful in preventing further fluctuations.Conclusion: Aqueous misdirection is a form of secondary angle closure glaucoma marked by elevated intraocular pressures, myopic shift in refraction, and central shallowing of the anterior chamber. Here, a case of a pseudophakic patient experiencing bilateral and fluctuating signs and symptoms resembling aqueous misdirection is presented. Surgical intervention with a pars plana vitrectomy and iridectomy prevented further fluctuations. Keywords: aqueous misdirection, glaucoma, pars plana vitrectomy, secondary angle closure
format	article
author	Moinul P Hutnik CML
author_facet	Moinul P Hutnik CML
author_sort	Moinul P
title	Aqueous misdirection syndrome: an interesting case presentation
title_short	Aqueous misdirection syndrome: an interesting case presentation
title_full	Aqueous misdirection syndrome: an interesting case presentation
title_fullStr	Aqueous misdirection syndrome: an interesting case presentation
title_full_unstemmed	Aqueous misdirection syndrome: an interesting case presentation
title_sort	aqueous misdirection syndrome: an interesting case presentation
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/abdee3050532441abc43951ee86e2bf4
work_keys_str_mv	AT moinulp aqueousmisdirectionsyndromeaninterestingcasepresentation AT hutnikcml aqueousmisdirectionsyndromeaninterestingcasepresentation
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Aqueous misdirection syndrome: an interesting case presentation

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