To underscore the significance of recognizing subtle clinical signs that may contribute to the appropriate diagnosis and specific targeted management of pigment dispersion and pigmentary glaucoma. Case 1. A White-American patient presenting with pigmented deposits at the equatorial lens surface led to recognition of additional signs of pigment dispersion. Case 2. An African-American patient presented with patent pigmented deposits at the equatorial lens surface, subtle signs of pigment dispersion without iris trans-illumination, and unilateral glaucomatous optic neuropathy. Case 3. A Hispanic-American patient, previously diagnosed with primary open angle glaucoma, presented with patent pigmented deposits at the lens equator and subtle signs of pigment dispersion without iris trans-illumination. The diagnosis was changed to pigmentary glaucoma. The clinician must be aware of and look for subtle emerging signs that may lead to glaucomatous optic neuropathy in pigment dispersion. A precise diagnosis may facilitate the appropriate targeted management of such cases.
Eulogio Besada, OD, MS, FAAO; Sherrol Reynolds, OD
Company: Mediconcepts, Inc
CE Credits: 1
CE Format: PDF
COPE ID: 12707-GL