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May 1975

Angle-Closure Glaucoma Secondary to Ciliary Body Swelling

Author Affiliations

Merrick, NY

Arch Ophthalmol. 1975;93(5):390. doi:10.1001/archopht.1975.01010020402019

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To the Editor.  —I read with great interest the article by Phelps in the October issue of the Archives (92:287, 1974). I believe that the mechanism described in the article was responsible for an attack of elevated tension in a patient (of mine) recovering from iridocyclitis.This patient is a 42-year-old woman with rheumatoid arthritis, who had her third attack of fibrinous iritis in the left eye. The inflammatory response was especially severe, resulting in hypopyon and hand movements' vision.Subtenon steroid therapy was refused. Systemically given steroids, coupled with topically given steroids and cycloplegics, resulted in gradual clearing. After a month and a half, corrected vision had improved to 20/ 30 but an additional 2½ diopters of myopia were noted. The anterior chamber in the affected eye was shallower than that of the fellow eye, but the angle remained ample. Over the course of four days, another diopter of

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