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April 1988

Angle Closure Glaucoma After Scleral Buckling for Retinopathy of Prematurity

Arch Ophthalmol. 1988;106(4):453. doi:10.1001/archopht.1988.01060130495016

To the Editor.  —Acute angle closure glaucoma is a recognized complication of cicatricial retinopathy of prematurity1; however, most reported cases have occurred in eyes with severe degrees of retrolental fibroplasia. Scleral buckles can decrease anterior chamber depth acutely,2 but this usually returns to normal after several months. We describe herein a 4-year-old girl with cicatricial retinopathy of prematurity in whom simultaneous acute angle closure glaucoma developed in both eyes. We believe encircling scleral buckles placed before the eyes had reached their full size contributed to persistent narrowing of the anterior chamber angles.

Report of a Case.  —A 4-year-old girl presented four days after routine eye examination with a three-day history of anorexia, nausea and vomiting, and bilateral eye pain. At birth, her estimated gestational age was 24 weeks, her birth weight was 680 g, and she required ventilation with high oxygen concentrations during the immediate postnatal period. At

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