Abstract

A 25 year old female patient, k/c/o Glaucoma,1st trimester pregnancy presented with complaints of redness in the right eye since 1 week. Hx of using Latanoprost eye drops for the past 3 years.Strong family history of glaucoma present. Hx wearing distance vision glasses for the past 10 years.No Hx DM,HTN, oral or topical steroids. BCVA of both eyes 6/6, N6. IOP of 18mm of Hg in both eyes. VH Grade 4 AC Depth with open angles on Gonioscopy. Fundus examination: RE- tilted optic disc with C:D ratio of 0.8, inferior notching and LE-Normal disc with C:D of 0.4. Pachymetry of 515µ(+2mm of Hg) in RE and 523µ (+1mm of Hg) in LE.Right eye Visual field shows superior arcuate defect. Left eye Visual field is within normal limits. Right eye OCT RNFL showed NRR thinning in superior and inferior quadrant.Left eye OCT RNFL was normal. Brimonidine+Timolol eye drops (BD) – for right eye safer in 1st trimester.Patient reviewed after a month had iop reduction,with iop of 12mm of Hg in both eyes.