Pigmentary Glaucoma

Pigmentary glaucoma is secondary open-angle glaucoma due to pigment dispersion from iris-lens contact, causing trabecular obstruction, typically in young myopic males. Clinical: Krukenberg spindle, mid-peripheral iris transillumination defects, elevated IOP, and optic-nerve damage. Treatment: topical hypotensives (miotics/prostaglandins), laser trabeculoplasty, and laser peripheral iridotomy to reverse iris-bombé configuration; filtration surgery if uncontrolled.

Common Symptoms

Blurred vision/haloes; Krukenberg spindle; mid-peripheral iris transillumination; young myopic male

Causes and Pathogenesis

Reverse pupillary-block iris-lens contact disperses pigment, clogging the trabecular meshwork.

Treatment

Topical hypotensives; laser trabeculoplasty; laser peripheral iridotomy; filtration if uncontrolled

Preventive Measures

IOP monitoring; early laser.

Department to Visit

It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.