case_images: PMC11405109_01
case_images: Gonioscopy view of the 6 o'clock. Close angle. All quadrants were the same.
case_images: CRIOPM2024-2633679.001.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.001.jpg
case_images: fig1
case_images: The patient had closed angles (Figure 1).
case_images: Anterior segment OCT: iridocorneal touch is evident in the periphery, and a centrally reduced space in the anterior chamber can be seen.
case_images: CRIOPM2024-2633679.002.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.002.jpg
case_images: fig2
case_images: The Heidelberg Spectralis  optical coherence tomography (OCT) (Figure 2) and the Quantel Aviso ultrasound biomicroscopy (UBM) ophthalmic ultrasound (Figure 3) showed that the iris pushed forward and had 360  of closed angles.
case_images: UBM preoperative evaluation showing close angle.
case_images: CRIOPM2024-2633679.003.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.003.jpg
case_images: fig3
case_images: The Heidelberg Spectralis  optical coherence tomography (OCT) (Figure 2) and the Quantel Aviso ultrasound biomicroscopy (UBM) ophthalmic ultrasound (Figure 3) showed that the iris pushed forward and had 360  of closed angles.
case_images: Anterior segment view, shallow anterior chamber, noticeable in the center, before surgery.
case_images: CRIOPM2024-2633679.004.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.004.jpg
case_images: fig4
case_images: The anterior segment picture correlates with the test, showing a shallow anterior chamber even in the center (Figure 4).
case_images: Fundus photo. Optic nerve looks crowded.
case_images: CRIOPM2024-2633679.005.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.005.jpg
case_images: fig5
case_images: Fundus examination (Figure 5) showed crowded discs with mild horizontal macular folds clinically, and OCT (Heidelberg Spectralis ) (Figure 6) evidenced wrinkling of the inner retinal layers consistent with the mild macular fold.
case_images: Posterior segment OCT, macular folds.
case_images: CRIOPM2024-2633679.006.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.006.jpg
case_images: fig6
case_images: Fundus examination (Figure 5) showed crowded discs with mild horizontal macular folds clinically, and OCT (Heidelberg Spectralis ) (Figure 6) evidenced wrinkling of the inner retinal layers consistent with the mild macular fold.
case_images: The anterior segment OCT, which shows that the iridocorneal touch decreases the angle, has not fully opened. The anterior chamber's increased depth can be seen.
case_images: CRIOPM2024-2633679.007.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.007.jpg
case_images: fig7
case_images: We suggested taking out the clear lens and implanting an IOL to make the anterior chamber deeper (Figure 7) and reducing the iridocorneal touch so that the IOP could be better controlled.
case_images: Twenty-four-hour postoperative increase in depth in the anterior chamber, with a bubble of air to keep the IOL in place.
case_images: CRIOPM2024-2633679.008.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.008.jpg
case_images: fig8
case_images: Acetylcholine (Miochol ) was used, and air bubbles were left in the anterior chamber to ensure the IOL remained in the bag for the first 24 to 36 h (Figure 8).
case_images: AS-OCT 1-year postoperative iridocorneal touch decreases, and the angle is narrow but not as close as before surgery.
case_images: CRIOPM2024-2633679.009.jpg
case_images: PMC11405109_01_CRIOPM2024-2633679.009.jpg
case_images: fig9
case_images: Angles remained narrow (Figure 9), but no acute crises were reported.