Abstract
A case of relapsing polychondritis showed IOP elevations three times during the follow-up due to the angle-closure mechanism. The peripheral anterior chamber depth (ACD) showed a good correlation with IOP elevation, but central ACD did not. The peripheral ACD could be more related to IOP elevation than central ACD.
Highlights
Relapsing polychondritis is a multi-organ autoimmune disease characterized by recurrent episodes of inflammation and progressive destruction of cartilaginous tissues
More than half of the patients with relapsing polychondritis have ocular symptoms that appear in the form of recurrent episcleritis or scleritis, conjunctivitis, keratitis or uveitis [1, 4]
Since UBM and other ophthalmic examinations revealed the presence of narrow angle and plateau iris configuration, we speculated that this patient initially had plateau iris configuration and slight inflammation around the ciliary body that could not be detected by routine ophthalmic examination, which pushed the ciliary body forward, resulting in angle closure
Summary
Relapsing polychondritis is a multi-organ autoimmune disease characterized by recurrent episodes of inflammation and progressive destruction of cartilaginous tissues. Ocular manifestations including secondary open glaucoma were found in more than half of patients relapsing polychondritis [1]. We experienced a case of relapsing polychondritis with secondary ACG. This patient showed periodical elevation of intraocular pressure (IOP) due to the mechanism of angle closure.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
