THE ROLE OF THE ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY IN THE DETECTION OF ANGLE RECESSION GLAUCOMA

Abstract

Angle recession glaucoma is classified as a type of traumatic secondary open-angle glaucoma. Angular resection is strongly associated with traumatic hyphema. As many as 60% of nonpenetrating or consecutive ocular trauma will develop some degree of angle resection. The most commonly associated conditions are sports injuries (boxing, paintball), traffic accidents (impact from an airbag, other ocular trauma), physical attacks, falls from a height.

We present a case of a 27-years-old patient injured in a traffic accident in whom we diagnosed secondary glaucoma with a recession of the iridocorneal angle after blunt trauma to the eyeball.

Regression of symptoms and normalization of the condition of the left eye were monitored for one week. At the first control, the visual acuity has improved significantly. When measuring the eye’s pressure of the left eye, an increase in intraocular pressure with a value of 27mmHg was observed. Asymmetry of different sectors of the angle was determined gonioscopically. Subsequently, anterior-segment optical coherence tomography was performed once again, which confirmed the presumed diagnosis.