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Year : 2021  |  Volume : 1  |  Issue : 3  |  Page : 515-516

A curious case of unilateral buphthalmos: Angle-closure glaucoma secondary to uveitis in a newborn

Glaucoma Department, Narayana Nethralaya-2, Bangalore, Karnataka, India

Correspondence Address:
Dr. Sushma Tejwani
Glaucoma Services, Narayana Nethralaya-2, Narayana Hrudalaya Complex, #258/A, Bommasandra, Hosur Road, Bangalore, Karnataka - 560 099
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2990_20

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Unilateral secondary angle-closure glaucoma due to uveitis is a rare presentation in a neonate. While the congenital pupillary membranes present predominantly with iris and pupillary changes, glaucoma being a late presentation in a milder form. We report an unusual presentation of a few weeks old baby, having unilateral buphthalmos, normal iris, flat anterior chamber, and elevated intraocular pressure with a pupillary membrane, causing secondary angle-closure glaucoma. There was indirect evidence of maternal infection during the antenatal period with raised IgG titers. The case was managed with anterior chamber reformation, iridectomy along with membranectomy, and did not require trabeculectomy.

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