A 39-year-old male presented with a three-year history of decreased and fluctuating vision in his left eye. Examination revealed essential iris atrophy in the left eye, which was causing fluctuating intraocular pressure and visual acuity due to corneal changes. The patient has been managed with hypertonic saline drops and has not experienced further pressure spikes, though his vision remains fluctuating.

1. New England Eye Center Grand Rounds Ihuoma U. Alozie-Uddoh, M.D. May 24, 2001

6. Figure 1. Anterior segment photograph and Right and Left Eyes OD OS

8. Figure 2. Goniophotograph Left Eye

11. Figure 3. Specular microscopy photographs of Right and Left Eyes. OD OS

12. Figure 4. Optic nerve photographs of Right and Left Eyes. OD OS

13. Figure 5. Visual field photographs of Right and Left Eyes. OS OD