Pigmentary glaucoma associated with anterior megalophthalmos

Abstract

We present a case of anterior megalophthalmos associated with secondary pigmentary glaucoma in the right eye, with other factors contributing to his raised intraocular pressure (IOP). The mechanism of glaucoma was multifactorial – pigment dispersion syndrome, abnormal angle architecture, IOP rises post pars plana vitrectomy with gas, postcataract extraction, element of steroid response. He underwent successful viscocanalostomy to control his IOP. To the best of our knowledge, there is no previous literature publication on viscocanalostomy as a surgical management of glaucoma in an eye with anterior megalophthalmos.