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Pigment Dispersion Syndrome and Pigmentary Glaucoma

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Clinical Glaucoma Care

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Abstract

Pigment dispersion syndrome (PDS) and pigmentary glaucoma (PG) are two successive stages of the same disease process characterized by disruption of the posterior iris pigment epithelium and deposition of the dispersed pigment granules throughout the anterior segment. The classic diagnostic triad that characterizes the PDS consists of corneal endothelial pigmentation; slit-like, radial, mid-peripheral iris transillumination defects; and dense homogeneous pigmentation of the trabecular meshwork. In PDS, the anterior chamber is often deeper than normal both centrally and peripherally. The iridocorneal angle is typically wide open, the iris is inserted posteriorly into the ciliary body, and the configuration of the peripheral iris is concave1. PG is defined as glaucomatous optic neuropathy attributable to elevated intraocular pressure (IOP) from PDS.

The authors do not have any financial interest in any technique or device described in this chapter.

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Authors and Affiliations

  1. Department of Ophthalmology, New York Medical College, New York Eye and Ear Infirmary, 310 East 14th Street, Suite 304, New York, 10003, NY, USA

    Sung Chul Park MD

  2. Department of Ophthalmology, New York Eye and Ear Infirmary, 310 East 14th Street, Suite 301, New York, 10003, NY, USA

    Celso Tello MD

  3. New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA

    Nathan Radcliffe MD

  4. Department of Ophthalmology, New York Eye and Ear Infirmary/New York Medical College, 310 East 14th Street, New York/Valhalla, 10003, NY, USA

    Robert Ritch MD

Authors
  1. Sung Chul Park MD
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  2. Celso Tello MD
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  3. Nathan Radcliffe MD
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  4. Robert Ritch MD
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Corresponding author

Correspondence to Celso Tello MD .

Editor information

Editors and Affiliations

  1. Rocky Visa University, Littleton, Colorado, USA

    John R. Samples

  2. Visual Health Center, Palm Springs, Florida, USA

    Paul N. Schacknow

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Park, S.C., Tello, C., Radcliffe, N., Ritch, R. (2014). Pigment Dispersion Syndrome and Pigmentary Glaucoma. In: Samples, J., Schacknow, P. (eds) Clinical Glaucoma Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4172-4_16

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  • DOI: https://doi.org/10.1007/978-1-4614-4172-4_16

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