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A case of relapsing polychondritis diagnosed by secondary angle closure glaucoma Naoki Fukushima 1 , Eriko Yasuda 1 , Kazuki Tsuchihashi 1 , Shunichiro Nakai 1 , Yoshifumi Maeda 1 , Rumiko Hara 1 1Department of Ophthalmology, Kakogawa Central City Hospital pp.780-785
Published Date 2023/6/15
DOI https://doi.org/10.11477/mf.1410214830
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Abstract Purpose:To report a case of relapsing polychondritis diagnosed by secondary angle closure glaucoma.

Case:A 51-year-old patient with ocular pain in his right eye presented to an ophthalmic clinic. He was diagnosed with angle closure glaucoma and referred to our hospital. During phacoemulsification-aspiration procedure for angle closure glaucoma, his posterior capsule was ruptured and we noticed choroidal detachment at the time of ports setting. Anterior segment optical coherence tomography showed supraciliary fluid preoperatively. In addition to the presence of redness and swelling of both auricles before the first ocular onset, scleritis appeared in both eyes one week after the surgery. Due to these clinical findings, he was diagnosed with relapsing polychondritis.

Conclusion:In cases of relapsing polychondritis, angle closure glaucoma can be in initial ophthalmic symptom.


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