Pigmentary glaucoma, stable course

The article considers a case with a pigmentary form of primary open-angle glaucoma in a 39-year-old man. The pigmentary glaucoma is a variant of the disease in which an increase in intraocular pressure (IOP) is provoked by the deposition of melanin granules in the corner of the anterior chamber of the eye. This pathology is rare, so the clinical case is of interest. The patient’s examination data obtained using diagnostic methods such as visometry, tonometry, biomicroscopy, ophthalmoscopy, computer perimetry, optical coherence tomography of the optic nerve disk and retina macular area, tonometry with analysis the biomechanical properties of the cornea are presented. In 2014, the patient underwent laser basal iridectomy and selected local hypotensive therapy, IOP stabilized. During dynamic observation for 10 years, the patient had a stable condition of the optic nerve disc and visual functions.