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
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.