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Angle closure glaucoma after laser photocoagulation for retinopathy of prematurity
  1. A Uehara1,
  2. T Kurokawa1,
  3. N Gotoh1,
  4. N Yoshimura1,
  5. T Tokushima2
  1. 1Department of Ophthalmology, Shinshu University School of Medicine, Matsumoto, Japan
  2. 2Department of Ophthalmology, Nagano Children’s Hospital, Nagano, Japan
  1. Correspondence to: N Yoshimura MD PhD Department of Ophthalmology and Visual Sciences Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan; nagaeyekuhp.kyoto-u.ac.jp

https://doi.org/10.1136/bjo.2003.037994

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    Infantile angle closure glaucoma (ACG) is a rare consequence of retinopathy of prematurity (ROP) and usually occurs a few years after laser treatment for ROP.1–3 A Medline search for ACG following laser photocoagulation extracted only one case. In the case, ACG occurred in 2 weeks after laser photocoagulation and although occurrence of iris bombe in both eyes was described, the mechanism for the ACG was not fully clarified.4

    We present a case of bilateral ACG that occurred within a several weeks after the laser photocoagulation for ROP. We shall discuss the importance of ultrasound biomicroscopy (UBM) in the diagnosis.

    Case report

    A baby girl, born at 25 weeks gestation weighing 796 g, was diagnosed with stage 2 plus, zone 2 ROP bilaterally at 33 weeks. Diode laser photocoagulation, 986 applications right eye and 629 left eye, with 200–240 mW, 0.4 second duration, was performed by a paediatric ophthalmologist. On the following day, severe hyphaema was observed …

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