The Utility of Anterior Segment Imaging in an Atypical Case of Acute Angle Closure

A young Chinese male presented with unilateral acute angle closure. Although clinically unclear, anterior segment optical coherence tomography and ultrasound biomicroscopy confirmed the cause of this patient's angle closure attack. In this case, the attack was secondary to the globular lens shape, spherophakia. This case illustrates the complementary role of anterior segment imaging modalities in an atypical presentation of acute angle closure

Ocular 'Roid Rage

Corticosteroids use can cause raised intraocular pressure (IOP), leading to glaucoma. We present a case report of steroid induced glaucoma in a young male with keratoconjunctivitis (VKC). Our patient was uncompliant with instructions to stop steroid use, initially started for VKC treatment, and required aggressive medical and surgical intervention for IOP control. He eventually progressed to severe glaucomatous optic neuropathy and eventual tunnel vision. Steroid induced glaucoma is an important and frequently encountered condition in ophthalmology clinics. This report serves to remind all physicians of the dangers of steroid eye drop usage