DR. SHAIK SOHNI SULTANA

DR.SAMRA WAHAJ FATIMA

Abstract

PURPOSE: TO PRESENT A CASE OF PIGMENT DISPERSION SYNDROME

INTRODUCTION-PIGMENTARY DISPERSION SYNDROME (PDS)IS A BILATERAL CONDITION

TYPICALLY SEEN IN YOUNG MYOPIC

MALES.CLASSIC ANTERIOR SEGMENT FINDINGS ARE PIGMENT DEPOSITION ON CORNEAL

ENDOTHELIUM (KRUKENBERG SPINDLE )DENSE PIGMENTATION OF TRABECULAR MESHWORK AND

MID PERIPHERAL IRIS TRANSILLUMINATION DEFECTS

METHODS : 29 YRS OLD YOUNG MALE BY OCCUPATION HEAVY

EXERCISE TRAINER PRESENTED TO OPD WITH CHIEF COMPLAINTS OF PAIN IN BE- LE>RE

SINCE 5MTHS

SLITLAMP EXAMINATION -ANTERIOR SEGMENT FINDINGS

KERATOMETRY -FLAT CORNEA

GOLDMANN APPLANATION TONOMETRY

DIURNAL VARIATION TEST TO STUDY -ANY IOP FLUCTUATIONS

GONIOSCOPY-EVALUATION OF TRABECULAR MESHWORK PIGMENTATION

FUNDUS -OPTIC DISC CHANGES AND NERVE FIBRE LAYER LOSS

RESULTS :PATIENT SHOWED KRUKENBERG SPINDLE WITH HEAVILY PIGMENTED TRABECULAR

MESHWORK ON GONIOSCOPY WIDELY ANGLES ,ELEVATED IOP AND NO DISC /RNFL

CHANGES

CONCLUSION :EYES WITH PDS NEED IOP MONITORING AND DISC EVALUATION