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39 year old asymptomatic woman with a history of "glaucoma"
Digital Journal of Ophthalmology 1996
Volume 2, Number 6
October 25, 1996
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Abha R. Amin, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Examination
Vision: 20/20 OD, 20/20 OS
Pupils: No APD
External: Normal OU
Slit lamp examination: The conjunctiva and sclera were white and quiet OU. The corneas were clear OU. The anterior chamber had no cell or flare.
Tonometry: 15 mmHG OD, 38 mmHG OS
Fundus examination: The left disc shows evidence of glaucomatous cupping with a thin temporal rim. The disc, macula, and vessels OD were within normal limits.
Visual Fields: Testing using the Humphrey automated perimeter showed glaucomatous field loss OS. The visual field was normal OD.
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Figure 1
Figures 1-2. These are low magnification photographs of the patient's anterior segments which SHOW distortion of the patient's left pupil (without dilation). The patient's right anterior segment is normal.

Figure 2

Figure 3
Figures 3-5. Figure 3 and 4 demonstrate multiple fine iris nodules in the patient's left eye. Figure 5 is a gonio-view demonstrating a large area of peripheral anterior synechiae which pulls on the iris and distorts the pupil.

Figure 4

Figure 5