Bilateral juvenile onset primary open-angle glaucoma among keratoconus patients.

Sahil Goel, Anita Ganger, Viney Gupta

Journal: Journal of glaucoma 2015;24(4):e25-7

PMID: 24240878

Abstract

PURPOSE

To report the occurrence of juvenile open-angle glaucoma (JOAG) in patients with keratoconus.

PATIENTS AND METHODS

In this observational case series we report 6 eyes of 3 patients with keratoconus who had concomitant JOAG. Corneal topography, intraocular pressure, gonioscopic, and fundus findings were recorded for all the eyes.

RESULTS

All 3 patients presented with corneal ectasia, high intraocular pressure, and advanced glaucomatous damage and had no family history of glaucoma or keratoconus. Two of the 3 patients needed collagen cross-linking with riboflavin for progression of keratoconus and trabeculectomy for control of intraocular pressure. One of the patients also underwent a lamellar keratoplasty for keratoconus.

CONCLUSIONS

This is the first case series pointing toward a possible association of JOAG with keratoconus and highlights the importance of a thorough workup of glaucoma in patients with keratoconus.

Address: Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

DOI: 10.1097/IJG.0000000000000024

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MeSH Terms: Collagen, Corneal Stroma, Corneal Topography, Cross-Linking Reagents, Glaucoma, Open-Angle, Gonioscopy, Humans, Intraocular Pressure, Keratoconus, Male, Photosensitizing Agents, Riboflavin, Tonometry, Ocular, Trabeculectomy, Treatment Outcome, Visual Acuity, Young Adult