PMC10062098_01
(a) Ectropion uveae present temporally in undilated (red arrow); (b and c) On dilation posterior pigment epithelium of iris adhered to anterior capsular opacification (yellow arrow)
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F1
IOP by GAT OU as 16 mmHg. OU had a diffuse bleb, deep anterior chamber with patent surgical peripheral iridectomy. In OS, she had a 1 clock hour of ectropion uveae present temporally [Figure 1a]. OS [Figure 1b and c]. OU optic disc and visual fields were stable.
PMC10062098_02
(a and b) Irregularly shaped pupil with ectropion uveae present inferiorly (red arrow) in OD; (c) Normal anterior segment in OS; (f) Gonioscopic image of superior angle open till scleral spur; (d) Nasal angle; (e) Inferior angle; and (g) Temporal angle closed with PAS formation (yellow arrow). PAS: Peripheral anterior synechiae
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F2
Ectropion uveae was present in the inferior pupillary margin pulling the posterior pigment epithelium toward the angle [Figure 2a and b]. On gonioscopy, her superior angle was open till scleral spur [Figure 2f] while nasal [Figure 2d], inferior [Figure 2e], and temporal [Figure 2g] angles were closed with broad-based PAS. OS was within normal limits [Figure 2c] with angles open to scleral spur on gonioscopy. OU had a clear lens, ONH had a CDR of 0.3:1 with healthy NRR with no obvious RNFL defect.
PMC10062098_03
(a) Normal anterior segment in OD; (b and c) Irregular pupil with ectropion uveae and Cogan-Reese nodules (yellow arrow); (d-f) Temporal, inferior, superior quadrants of gonioscopy showing ectropion uveae with PAS formation (red arrow); (g) Nasal quadrant showing open angle. PAS: Peripheral anterior synechiae
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F3
OD [Figure 3a], in OS cornea was clear, anterior chamber had Van Herick grade 2, iris had ectropion uveae at 12 o'clock and 4 o'clock and 6 o'clock along with Cogan-Reese nodules, a triangular shaped sluggishly reacting pupil [Figure 3b and c]. On gonioscopy, in OD, all quadrants were open till scleral spur, and in OS, all quadrants were closed with broad-based peripheral anterior synechiae (PAS) except for the nasal quadrant which was open [Figure 3d-g].
PMC10062098_04
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