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10.1016/j.ajoc.2016.02.001

http://scihub22266oqcxt.onion/10.1016/j.ajoc.2016.02.001
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C5757341!5757341!29503886
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suck abstract from ncbi


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pmid29503886      Am+J+Ophthalmol+Case+Rep 2016 ; 1 (ä): 31-3
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  • Acute angle closure in the setting of high axial myopia: A case report #MMPMID29503886
  • Su CW; Chen HY
  • Am J Ophthalmol Case Rep 2016[Apr]; 1 (ä): 31-3 PMID29503886show ga
  • Acute angle closure is common in hyperopic eyes but uncommon in myopic eyes. Here, we report a case of angle closure attack in a 59-year-old female patient with high axial myopia. The patient presented without underlying medical history or drug history with marked congestion and progressively blurred vision in her right eye (RE) for 1 week. Initial intraocular pressure (IOP) was 40 mmHg in the RE and 19 mmHg in the left eye. Slit lamp examination revealed a very shallow anterior chamber in both eyes and marked corneal microcytic edema in the RE. Acute angle closure of the RE was diagnosed. Conservative IOP-lowering management followed by laser iridotomy was effective in managing acute high IOP crisis; however, early cataract extraction was necessary for long-term IOP control. Clinicians should be mindful of the possibility of acute angle closure even in highly axially myopic eyes.
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