The Pan-American Journal of Ophthalmology

CASE REPORT
Year
: 2021  |  Volume : 3  |  Issue : 1  |  Page : 41-

Nanophthalmos refractory to medical treatment: What to do?


Carolina Saldarriaga-Santos1, Hector Fernando Gómez Goyeneche2 
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
Colombia

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.


How to cite this article:
Saldarriaga-Santos C, Gómez Goyeneche HF. Nanophthalmos refractory to medical treatment: What to do?.Pan Am J Ophthalmol 2021;3:41-41


How to cite this URL:
Saldarriaga-Santos C, Gómez Goyeneche HF. Nanophthalmos refractory to medical treatment: What to do?. Pan Am J Ophthalmol [serial online] 2021 [cited 2022 Jan 25 ];3:41-41
Available from: https://www.thepajo.org/article.asp?issn=2666-4909;year=2021;volume=3;issue=1;spage=41;epage=41;aulast=Saldarriaga-Santos;type=0