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Review
. 2023 Aug 27;13(9):1814.
doi: 10.3390/life13091814.

Bilateral Angle Recession and Chronic Post-Traumatic Glaucoma: A Review of the Literature and a Case Report

Valeria Iannucci  1 , Priscilla Manni  1 , Ludovico Alisi  1 , Giulia Mecarelli  1 , Alessandro Lambiase  1 , Alice Bruscolini  1
Affiliations
Review

Bilateral Angle Recession and Chronic Post-Traumatic Glaucoma: A Review of the Literature and a Case Report

Valeria Iannucci et al. Life (Basel). .

Abstract

Ocular trauma affects millions of people worldwide and is a leading cause of secondary glaucoma. Angle recession is the main cause of post-traumatic glaucoma after blunt eye trauma, and it is usually unilateral. The aim of this paper is to investigate the possible causes of angle recession with a bilateral presentation. Airbag activation during traffic accidents is a likely cause to be ruled out, along with repeated head or eye trauma, due to contact sports or a history of physical abuse. These aspects can aid in early detection, appropriate management, and improved outcomes for patients with ocular trauma. Finally, we report the case of a 75-year-old Caucasian man who developed a bilateral angle recession after an airbag impact, with advanced glaucoma in the right eye and ocular hypertension in the left eye. To our knowledge, this is the first case in the literature of chronic post-traumatic glaucoma probably caused by an airbag.

Keywords: airbag eye injuries; angle recession; bilateral eye injuries; post-traumatic glaucoma.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Right-eye non-indentation gonioscopy: superior quadrants (A), inferior quadrants (B). The inferior quadrants show a pathological deepening compared to the superior quadrants (arrow).
Figure 2
Figure 2
Left-eye non-indentation gonioscopy: superior quadrants (A), inferior quadrants (B). The inferior quadrants show a pathological deepening compared to the superior quadrants (arrow).
Figure 3
Figure 3
Anterior-segment OCT (Zeiss, Visante OCT—1000). Angle recession (arrows) in OD (A) and OS (B).
Figure 4
Figure 4
Right eye, fundoscopy and perimetry (Zeiss, HFA 24-2 SITA standard): advanced glaucoma (mean deviation—12.29 dB).
Figure 5
Figure 5
Left eye, fundoscopy and perimetry (Zeiss, HFA 24-2 SITA standard): peripapillary atrophy and corresponding blind-spot enlargement but no evident glaucoma damage.
See this image and copyright information in PMC

References

    1. Négrel A.D., Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol. 1998;5:143–169. doi: 10.1076/opep.5.3.143.8364. - DOI - PubMed
    1. Ng S.M.S., Low R., Hoskin A.K., Rousselot A., Gunasekeran D.V., Natarajan S., Sundar G., Chee C.K.L., Mishra C., Sen P. The application of clinical registries in ophthalmic trauma—The International Globe and Adnexal Trauma Epidemiology Study (IGATES) Graefes Arch. Clin. Exp. Ophthalmol. 2022;260:1055–1067. doi: 10.1007/s00417-021-05493-6. - DOI - PubMed
    1. Kuhn F., Morris R., Witherspoon C.D., Heimann K., Jeffers J.B., Treister G. A Standardized Classification of Ocular Trauma. Ophthalmology. 1996;103:240–243. doi: 10.1016/S0161-6420(96)30710-0. - DOI - PubMed
    1. Pieramici D.J., Sternberg P., Jr., Aaberg T.M., Sr., Bridges W.Z., Jr., Capone A., Jr., Cardillo J.A., De Juan E., Jr., Kuhn F., Meredith T.A., Mieler W.F., et al. A System for classifying mechanical injuries of the eye (Globe) Am. J. Ophthalmol. 1997;123:820–831. doi: 10.1016/S0002-9394(14)71132-8. - DOI - PubMed
    1. Bhalla K., Gleason K. Effects of vehicle safety design on road traffic deaths, injuries, and public health burden in the Latin American region: A modelling study. Lancet Glob. Health. 2020;8:e819–e828. doi: 10.1016/S2214-109X(20)30102-9. - DOI - PubMed

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