Familial exudative vitreoretinopathy presenting as bilateral secondary angle-closure

Abstract

<br>A 24-year-old man presented with sudden-onset bilateral simultaneous angle closure with intraocular pressure (IOP) of 30 and 52 mm Hg in the right and left eye, respectively. Ultrasound biomicroscopy detected the presence of bilateral supraciliary fluid, whereas fundus appearance was suggestive of familial exudative vitreoretinopathy (FEVR). He was managed with cycloplegics, topical steroids, and anti-glaucoma medications (AGM) followed by cryotherapy to peripheral leaking retinal vessels of both eyes, once IOP was controlled and supraciliary fluid resolved. Any patient with bilateral simultaneous angle closure must alert one to look beyond the diagnosis of primary angle closure and search for secondary causes.<br>