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Manoj Kulshrestha, FRCSI; Stephen Ng, FRACO; Emma Roff, PhD; Graham Sedgwick; John Ainsworth, FRCS, FRCOphth
Birmingham, England

Arch Ophthalmol. 1999;117:1664-1665.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

GLAUCOMA was discovered in the left eye of a 9-year-old boy with dominantly inherited partial anirida (Figure 1). Visual acuity was 6/6 m (20/20) OD and 6/9 m (20/30) OS. The cup-disc ratio was 0.3 OD and 0.6 OS (Figure 2, left). Initially the intraocular pressure (IOP) was 18 mm Hg OD and 26 mm Hg OS. Despite a maximal medical therapeutic regimen including topical brimonidine tartrate, latanoprost, timolol maleate, 0.25% betaxolol hydrochloride suspension, and oral acetazolamide sodium, IOP remained elevated up to 35 mm Hg OS. The SITA Fast (Swedish interactive thresholding algorithm) automated perimetry¹ showed progressive left glaucomatous field loss. Left trabeculectomy was preformed using topical preoperative fluorouracil.² Apparent improvement in the left optic disc after surgery (Figure 2, right) was demonstrated by confocal scanning laser ophthalmoscopy . . . [Full Text of this Article]

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