A 35-year-old man sustains blunt trauma to the eye with hyphaema. Two years later he is found to have IOP of 32 mmHg with open angles on gonioscopy, showing 270 degrees of angle recession in the affected eye. Gonioscopy of the fellow eye is normal. What is the definitive diagnosis?
- A Angle recession glaucoma ✓
- B Pigmentary glaucoma
- C Pseudoexfoliation glaucoma
- D Neovascular glaucoma
Correct answer: A. Angle recession glaucoma
Explanation
Angle recession glaucoma is a secondary open-angle glaucoma occurring after blunt trauma, where angle recession of more than 180 degrees predisposes to trabecular meshwork damage and elevated IOP, often presenting months to years later. Pigmentary glaucoma shows dense iris transillumination and Krukenberg spindle. Pseudoexfoliation shows fibrillar deposits on the lens capsule.
Reference: AAO BCSC Section 10: Glaucoma, 2023-2024 ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.