DR.DR. ASWATHY VIJAYAN

DR.BINDU S. AJITH, DR. NIVEAN M., DR. NISHANTH MADHIVANAN

Abstract

Purpose

1)To evaluate the clinical features of Cogan Reese syndrome.

2)To evaluate the control of IOP following Ahmed glaucoma valve surgery in the same.

Case report

A 37 year old lady had progressively increasing defective vision in left eye.Her BCVA was 6/6 in RE and 6/60 in LE. LE showed cornea edema,iris nodules,ectropion uvea and corectopia.IOP-46mmHg. Gonioscopy-closed angles with broad based PAS.Fundus-advanced glaucomatous damage.Specular microscopy-decreased cell count, polymegathism and dark cells with light central spot and light periphery.OCT-superior,inferior,nasal and temporal field depression.She was undergone Ahmmed valve surgery. Now her IOP is controlled with no further drop in vision with a follow up for 1 year.

Conclusion

1)Cogan Reese syndrome can be diagnosed clinically with the confirmation by specular microscope.

2)IOP is not controlled with maximum antiglaucoma medications.

3)Surgical technique is a better option like the Ahmed glaucoma valve surgery.