A Case with Acute Angle Closure Glaucoma Misdiagnosed as Herpetic Keratouveitis

Özet

Findings of acute glaucoma crisis was detected in a patient who previously diagnosed as a glaucoma secondary to herpetic keratouveitis and given medical treatment in an another facility. The patient was receiving treatment for herpes virus infection in addition to maximum anti-glaucomatous treatment. The biomicroscopic examination, gonioscopy, and anterior segment optical coherence tomography imaging were considered as acute glaucoma crisis due to primary angle closure and the treatment was re-arranged accordingly. Intraocular pressure was decreased while corneal edema was resolved by treatment; thus, YAG laser iridotomy was performed on day 4. Here, acute angle closure glaucoma diagnosis, differential diagnosis and treatment were discussed in the context of a case with acute angle closure glaucoma misdiagnosed as herpetic keratouveitis.