Glaukomflecken
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Glaukomflecken simply means glaucoma flecks [1]. It is anterior subcapsular or capsular opacity associated with focal epithelial infarct from past acute angle closure glaucoma[2]. Other name include Cataracta Disseminata subepithilias or Glaukomatosa Acuta [3].
Aetiology
Lens Epithelial necrosis due to high pressure within the anterior chamber pushing against the iris overlying the lens epithelium resulting mechanical damage or accumulation of toxin within the epithelium which resulted in epithelial necrosis and therefore anterior lens opacity [4].
Symptoms and sign
The lens opacity can be visualized with a slit lamp and since the opacity occurs usually within the visual axis or pupillary aperture, visual impairment is a possibility. Since glaucomflecken is associated with acute angle-closure glaucoma, sign for the latter can be present such as shallow anterior chamber, closed angle, hypermetropia etc [5].
Case Example and Image
Glaucomflecken in primary acute angle closure glaucoma[6].
References
- ↑ Dr Khairul Nazri Mohammad (Articles' Author), Waterford General Hospital, IRELAND
- ↑ Kanski JJ "Clinical Ophthalmology" 5th ed
- ↑ Ocular Pathology. "Glaukomflecken" March 2008
- ↑ Eu Eong KG et al. Int Ophthalmol. 1993;17:127-9.
- ↑ Dr Khairul Nazri Mohammad, Waterford General Hospital, IRELAND
- ↑ Photo by Dr. Ngo Chek Tung, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak, East Malaysia
