Pigmentary Dispersion Syndrome and Glaucoma

  • Celso Tello
  • Nathan Radcliffe
  • Robert Ritch


Pigment dispersion syndrome (PDS) and pigmentary glaucoma (PG) are two successive stages of the same disease process characterized by disruption of the iris pigment epithelium and deposition of the dispersed pigment granules throughout the anterior segment. The classic diagnostic triad that characterizes the pigment dispersion syndrome consists of corneal endothelial pigmentation (Krukenberg spindle, Fig. 38.1); slit-like, radial, mid-peripheral iris transillumination defects (Fig. 38.2); and dense homogeneous pigmentation of the trabecular meshwork (Fig. 38.3). In PDS, the anterior chamber is often deeper than normal both centrally and peripherally.


Trabecular Meshwork Pigment Dispersion Selective Laser Trabeculoplasty Laser Peripheral Iridotomy Pupillary Block 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Celso Tello
    • 1
  • Nathan Radcliffe
    • 2
  • Robert Ritch
    • 3
    • 4
  1. 1.Department of OphthalmologyNew York Eye and Ear InfirmaryNew YorkUSA
  2. 2.New York Presbyterian Hospital, Weill Cornell Medical CollegeNew YorkUSA
  3. 3.Department of OphthalmologyThe New York Eye and Ear InfirmaryNew YorkUSA
  4. 4.Department of OphthalmologyThe New York Medical CollegeValhallaUSA

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