Acute Angle-Closure Glaucoma in a Patient With Miller Fisher Syndrome Without Pupillary Dysfunction

作者：Ryu Won Yeol^*; Kim Jong Kuk; Jin Sang Wook; Shim Dong Hyun

来源：Journal of Glaucoma, 2015, 24(2): E5-E6.

DOI：10.1097/IJG.0000000000000191

• acute angle-closure glaucoma
• Guillain-Barre syndrome
• Miller Fisher syndrome
• pupil

Purpose: To report a case of an angle-closure glaucoma in a patient with Miller Fisher syndrome (MFS) without pupillary dysfunction.
Methods: We present a case report of a 75-year-old male presenting with total ophthalmoplegia, complete bilateral ptosis, and gait disturbance. He was diagnosed with MFS without pupillary dysfunction, which precipitated unilateral acute angle-closure glaucoma (AACG) due to complete lid ptosis.
Results: The initial ocular examination revealed hand motion in the right eye. Intraocular pressure, as assessed by Goldmann applanation tonometry, was 50 mm Hg, and gonioscopic findings revealed a closed angle on the right eye. After maximal tolerated medical therapy, laser peripheral iridotomy was performed. The unilateral AACG with MFS resolved without further incident.
Conclusions: This is the first reported case of a patient with MFS without autonomic dysfunction and AACG. We believe that pupillary dysfunction or lid ptosis due to neurological disorders may increase the possibility of AACG.

• 出版日期2015-2