|Year : 2020 | Volume
| Issue : 3 | Page : 216
Glaucomflecken: When the milk is spilled?
Prasanna Venkataraman, Madhuri Manapakkam, Neethu Mohan
Department of Glaucoma, Aravind Eye Hospital, Chennai, Tamil Nadu, India
|Date of Submission||01-Apr-2020|
|Date of Acceptance||06-May-2020|
|Date of Web Publication||14-Sep-2020|
Dr. Prasanna Venkataraman
Aravind Eye Hospital, Poonamallee High Road, Noombal, Chennai - 600 077, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Venkataraman P, Manapakkam M, Mohan N. Glaucomflecken: When the milk is spilled?. TNOA J Ophthalmic Sci Res 2020;58:216
A 43-year-old female presented with acute-onset pain and redness in the right eye for 1 week. Her best-corrected visual acuity was 6/36. Anterior-segment examination showed circumcorneal congestion, corneal edema, shallow anterior chamber, fixed mid-dilated pupil, and glaucomflecken. Her intraocular pressure was 50 mmHg and angles were occludable. Disc was hyperemic. She was diagnosed to have acute primary angle closure and started on oral, topical antiglaucoma medications and managed with laser peripheral iridotomy. Glaucomflecken are flecks of gray-white subepithelial opacities noted on the lens, following acute primary angle closure crisis [Figure 1]. They have a “spilled-milk” appearance. Together iris atrophy, glaucomflecken, and pigment dispersion form the “Vogt triad,” suggestive of a previous episode of acute ocular hypertension.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
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