PMC8581037_01
Anterior segment photography, ultrasound biomicroscopy (UBM), and B-scan ultrasonography of a 4-month-old child with congenital fibrous pupillary membrane-induced secondary glaucoma. (A) Anterior segment photograph at 3 months of age showing a clear cornea and normal central and peripheral anterior chamber depth. The pupil is covered by a white vascularized membrane with a few areas of posterior synechiae. (B) Anterior segment photograph at 4 months of age showing moderate corneal edema, iris bombe with the very shallow peripheral anterior chamber, and posterior synechiae covering 360 degrees of the pupil. (C) UBM demonstrates a fibrous membrane adherent to the anterior lens capsule covering the entire pupil leading to iris bombe and peripheral anterior synechiae. Central anterior depth measured 1.47 mm. (D) B-scan ultrasound image demonstrates significant cupping of the optic nerve as the yellow arrow shown.
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F2
One patient presented with an interesting clinical course worth highlighting given progression to secondary glaucoma within 3 weeks (Figure 2).