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Year : 2021  |  Volume : 3  |  Issue : 1  |  Page : 41

Nanophthalmos refractory to medical treatment: What to do?

1 Department of Ophthalmology, Doctor in Medicine, Diagnóstico Ocular del Country, Bogotá, Colombia
2 Department of Ophthalmology, Ophthalmologist, Glaucoma Specialist, Diagnóstico Ocular del Country, Colombia

Correspondence Address:
Hector Fernando Gómez Goyeneche
Diagnóstico Ocular del Country, Carrera 16#82-95 Cons. 702, Bogotá
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/pajo.pajo_66_20

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Nanophthalmos, a congenital rare condition, is defined as a small eye characterized by hypermetropia, narrow anterior chamber, and thickened choroid and sclera. These features create an environment with high risk of developing angle-closure glaucoma (AGC) and higher risk of intraoperative and postoperative complications. This is a case of young female patient with nanophthalmos, chronic angle closure, elevated intraocular pressure (IOP) refractory to medical therapy, iridotomy, and iridoplasty, yet without glaucomatous changes. In a case of nanophthalmos refractive to medical treatment, it is challenging to decide whether lowering IOP and preventing ACG are worth the risk of vision reduction by intraocular lens miscalculation or surgical complications.

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