Bilateral Juvenile Onset Primary Open-Angle Glaucoma Among Keratoconus Patients. Issue 4 (April 2015)

• Record Type: Journal Article
• Authors: Goel, Sahil; Ganger, Anita; Gupta, Viney
• Is Part Of: Journal of glaucoma. Volume 24:Issue 4(2015:Apr./May)
• Publication Date: 2015-04
• Subjects: Glaucoma -- Periodicals; 617.741005
• DOI: 10.1097/IJG.0000000000000024
• Languages: English
• ISSNs: 1057-0829

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Purpose:</title> <p>To report the occurrence of juvenile open-angle glaucoma (JOAG) in patients with keratoconus.</p> </sec> <sec> <title>Patients and Methods:</title> <p>In this observational case series we report 6 eyes of 3 patients with keratoconus who had concomitant JOAG. Corneal topography, intraocular pressure, gonioscopic, and fundus findings were recorded for all the eyes.</p> </sec> <sec> <title>Results:</title> <p>All 3 patients presented with corneal ectasia, high intraocular pressure, and advanced glaucomatous damage and had no family history of glaucoma or keratoconus. Two of the 3 patients needed collagen cross-linking with riboflavin for progression of keratoconus and trabeculectomy for control of intraocular pressure. One of the patients also underwent a lamellar keratoplasty for keratoconus.</p> </sec> <sec> <title>Conclusions:</title> <p>This is the first case series pointing toward a possible association of JOAG with keratoconus and highlights the importance of a thorough workup of glaucoma in patients with keratoconus.</p> </sec> </abstract>