Hypopyon and iris necrosis in angle-closure glaucoma. Report of two cases.

A mild anterior chamber aqueous flare and cellular response are common findings in acute angle-closure glaucoma. Chandler and Grant (I965) have noted that "discovery of a great many cells in the aqueous is perfectly consistent with the diagnosis of acute angle-closure glaucoma". We have recently seen two patients who had developed hypopyon during the course of their attacks of acute angle-closure glaucoma. Medical therapy for glaucoma brought the tension under control and the hypopyon disappeared after iridectomy. In one case the iridectomy specimen was retained for histopathological study and showed iris necrosis.