case_images: PMC10997960_01
case_images: (A) Slit-lamp image of the left eye depicting a dilated pupil and an ICL with a central hole and pigment dispersion over it; (B) Slit-lamp image of the left eye showing normal AC depth
case_images: jocgp-18-31-g001.jpg
case_images: PMC10997960_01_jocgp-18-31-g001.jpg
case_images: F1
case_images: ICL with a central hole. In contrast, the left eye displayed a regular iris pattern with a surgical PI at 11 o'clock, along with a dilated 7 mm pupil and pigmentation over the ICL with a central hole (Fig. 1).
case_images: Anterior segment OCT (AS-OCT) image of the left eye, illustrating proper vaulting of the ICL at all 12 o'clock hours
case_images: jocgp-18-31-g002.jpg
case_images: PMC10997960_01_jocgp-18-31-g002.jpg
case_images: F2
case_images: ICLs' central holes eliminated the possibility of pupillary blockage as a contributing factor to the patient's condition, thus dispelling concerns about pupillary block glaucoma. In the anterior segment OCT (AS-OCT) analysis, it was observed that the ICL exhibited appropriate vaulting across all 12-hour clock positions (Fig. 2).
case_images: Anterion image of the left eye showing adequate vaulting (191, 147, and 151 microm)
case_images: jocgp-18-31-g003.jpg
case_images: PMC10997960_01_jocgp-18-31-g003.jpg
case_images: F3
case_images: Anterion image also confirmed the adequacy of vaulting (Fig. 3). All biometry readings were unremarkable for both eyes (Fig. 4).
case_images: Optical biometry report of both eyes with normal measurements
case_images: jocgp-18-31-g004.jpg
case_images: PMC10997960_01_jocgp-18-31-g004.jpg
case_images: F4
case_images: Anterion image also confirmed the adequacy of vaulting (Fig. 3). All biometry readings were unremarkable for both eyes (Fig. 4).
case_images: Gonioscopy image of the left eye showing an open angle with heavy pigment dispersion
case_images: jocgp-18-31-g005.jpg
case_images: PMC10997960_01_jocgp-18-31-g005.jpg
case_images: F5
case_images: Notably, pigmentary depositions in the trabecular meshwork of the left eye were identified during gonioscopy, leading to the reclassification of the condition as secondary pigment dispersion syndrome (PDS)-related OAG (Fig. 5).
case_images: (A) Slit-lamp image of the left eye displaying bleb formation following trabeculectomy; (B) Gonioscopy image revealing a patent ostium in the left eye; (C) AS-OCT image capturing the morphology of the bleb (red arrow) in the left eye
case_images: jocgp-18-31-g006.jpg
case_images: PMC10997960_01_jocgp-18-31-g006.jpg
case_images: F6
case_images: Simultaneously, visual acuity remained unimpaired at 20/20 for both eyes, while the surgically treated eye demonstrated the establishment of a well-functioning bleb, conclusively affirming the sustained effectiveness of the surgical intervention (Fig. 6).
case_images: (A) A 5th-year follow-up slit-lamp photo of the left eye showing the iridectomy without the pigment dispersion; (B) A 5th-year follow-up slit-lamp photo of the left eye showing normal AC depth
case_images: jocgp-18-31-g007.jpg
case_images: PMC10997960_01_jocgp-18-31-g007.jpg
case_images: F7
case_images: Comprehensive examinations, which included slit-lamp, fundus examination, OCT, and visual field analysis, consistently produced unremarkable findings (Figs 7 and 8).
case_images: A 5th-year follow-up mosaic fundus photographs of the right and left eye, respectively, with visible barrage laser marks (black arrows) in the right eye
case_images: jocgp-18-31-g008.jpg
case_images: PMC10997960_01_jocgp-18-31-g008.jpg
case_images: F8
case_images: Comprehensive examinations, which included slit-lamp, fundus examination, OCT, and visual field analysis, consistently produced unremarkable findings (Figs 7 and 8).
case_images: (A) A 5th-year follow-up OCT results for both eyes, showing retinal thickness and GCL thickness within normal limits; (B) A 5th-year follow-up visual field data represented by a Bebie curve for right and left eye, respectively
case_images: jocgp-18-31-g009.jpg
case_images: PMC10997960_01_jocgp-18-31-g009.jpg
case_images: F9
case_images: Specifically, OCT assessments indicated that both retinal thickness and ganglion cell layer (GCL) thickness remained within normal limits (Fig. 9). Furthermore, the visual field analysis demonstrated normal results for both eyes, implying the absence of significant abnormalities (Fig. 9).