Abstract
Pigment dispersion syndrome and pigmentary glaucoma are conditions characterized by pigment dispersion originating from the posterior part of the iris and its accumulation on the trabecular meshwork, corneal endothelium, and anterior surface of the lens. The pigment on the trabecular meshwork can cause chronic inflammation with a secondary reduction of its function and an increase in intraocular pressure. The case presented represents a typical example of pigmentary glaucoma in a myopic patient in which signs, symptoms, and complications typical of these pathologies were present. We report and describe a case in which the patient presented with complaints of progressive decrease in vision of two year duration. The patient also had myopia with classical signs of PDS like Krukenberg's spindle on the posterior corneal surface were evident on slit lamp examination; transillumination defects in the iris could not be elicited by retroillumination as the iris was heavily pigmented. Gonioscopy revealed heavy and uniform pigmentation of trabecular meshwork. Patient was follow-up for a period of 6 months with clinical and instrumental examinations.
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