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OPHTHALMIC IMAGES
Year : 2020  |  Volume : 58  |  Issue : 3  |  Page : 216

Glaucomflecken: When the milk is spilled?


Department of Glaucoma, Aravind Eye Hospital, Chennai, Tamil Nadu, India

Date of Submission01-Apr-2020
Date of Acceptance06-May-2020
Date of Web Publication14-Sep-2020

Correspondence Address:
Dr. Prasanna Venkataraman
Aravind Eye Hospital, Poonamallee High Road, Noombal, Chennai - 600 077, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_34_20

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How to cite this article:
Venkataraman P, Manapakkam M, Mohan N. Glaucomflecken: When the milk is spilled?. TNOA J Ophthalmic Sci Res 2020;58:216

How to cite this URL:
Venkataraman P, Manapakkam M, Mohan N. Glaucomflecken: When the milk is spilled?. TNOA J Ophthalmic Sci Res [serial online] 2020 [cited 2020 Sep 24];58:216. Available from: http://www.tnoajosr.com/text.asp?2020/58/3/216/294985



A 43-year-old female presented with acute-onset pain and redness in the right eye for 1 week. Her best-corrected visual acuity was 6/36. Anterior-segment examination showed circumcorneal congestion, corneal edema, shallow anterior chamber, fixed mid-dilated pupil, and glaucomflecken. Her intraocular pressure was 50 mmHg and angles were occludable. Disc was hyperemic. She was diagnosed to have acute primary angle closure and started on oral, topical antiglaucoma medications and managed with laser peripheral iridotomy. Glaucomflecken are flecks of gray-white subepithelial opacities noted on the lens, following acute primary angle closure crisis [Figure 1].[1] They have a “spilled-milk” appearance.[2] Together iris atrophy, glaucomflecken, and pigment dispersion form the “Vogt triad,” suggestive of a previous episode of acute ocular hypertension.[3]
Figure 1: Characteristic “spilled-milk” appearance of glaucomflecken

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Sampaolesi R, Sampaolesi JR, Zárate J. The Glaucomas: Volume II – Open Angle Glaucoma and Angle Closure Glaucoma. London: Springer Science & Business Media; 2013. p. 885-6.  Back to cited text no. 1
    
2.
Spaeth GL, Danesh-Meyer H, Goldberg I, Kampik A. Ophthalmic Surgery: Principles and Practice. London: E-Book Elsevier Health Sciences; 2011. p. 25.  Back to cited text no. 2
    
3.
Gitter KA, Harris LS, Galin MA, Slusher MM. The postcongestive triad of angle-closure glaucoma. Am J Ophthalmol 1969;67:540-42.  Back to cited text no. 3
    


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