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A 35-year-old woman presenting with pain, reduced right-eye vision, and headache
Digital Journal of Ophthalmology 2015
Volume 21, Number 2
May 13, 2015
DOI: 10.5693/djo.03.2015.03.002
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Brinda P. Shah, MS, FRCOphth | Moorfields Eye Hospital, London, United Kingdom
Jonathan Clarke, MD, FRCOphth | NIHR Biomedical Research Centre at Moorfields Eye Hosital NHS Foundation Trust and UCL Institute of Ophthalmology, London, United Kingdom
Differential Diagnosis
The recurrent, self-limiting and bilateral symptoms were suggestive of migraine. There was little to suggest recurrent episodes of elevated IOP, with the optic nerves being healthy. With the presentation of elevated IOP, however, acute episodes of elevated IOP were confirmed. The mechanism of this elevated IOP is discussed below. Malignant glaucoma (aqueous misdirection syndrome) would present with elevated IOP, but the short episodes would be unusual and the syndrome is very unusual in aphakic patients.
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