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Photo Essay
August 2006

Surgical Management of Unilateral Glaucoma Associated With Poland Sequence

Arch Ophthalmol. 2006;124(8):1206-1207. doi:10.1001/archopht.124.8.1206

A 45-year-old man with Poland sequence (Figure 1) was initially seen for management of unilateral glaucoma in the right eye (Figure 2 and Figure 3). Visual acuity was 20/30 OD with −8.00 + 3.50 × 115° and 20/20 OS with −3.75 + 2.50 × 160°. Given 2.02-mm axial myopia in the right eye compared with the left eye and absence of other signs of secondary glaucoma, the glaucoma was thought to be associated with Poland sequence. He underwent trabeculotomy (Figure 4), and 4 months postoperatively, his intraocular pressure was 14 mm Hg while taking timolol and latanoprost. To the best of our knowledge, only strabismus,1 retinal hamartomas,2 and disc abnormalities3 have been associated with Poland sequence.

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