A rare acute presentation of simultaneous bilateral angle closure in a patient using a red light therapy mask
Labkovich M, Shah P, Barmas-Alamdari D, Djougarian A, Lee JM
American journal of ophthalmology case reports · 0 citations
How it was studied
- Design
- Case report (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
Based on full-text disclosure statement.
Publication
- Published
- 2026-08-07 · Am J Ophthalmol Case Rep · vol. 43 · p. 102645
- Publisher
- Elsevier BV
- Cited
- 0 citations · more than 78% of similar papers · 0.0× the field average
- References
- 10 works
- Access
- Open access (journal) · CC-BY-NC-ND
- Research areas
- Intraocular Surgery and Lenses · Corneal surgery and disorders · Traumatic Ocular and Foreign Body Injuries
- Keywords
- Presentation (obstetrics), Red light, Closure (psychology), Light therapy, Computed tomography
5 authors
From US
- Margarita LabkovichManhattan Eye, Ear and Throat Hospital; Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
- Paras ShahManhattan Eye, Ear and Throat Hospital; Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
- Daniel Barmas-AlamdariManhattan Eye, Ear and Throat Hospital; Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
- Alina DjougarianManhattan Eye, Ear and Throat Hospital; Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
- Jung Min Lee · correspondingManhattan Eye, Ear and Throat Hospital; Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
Abstract
Purpose
To describe a case of acute-onset bilateral angle-closure glaucoma secondary to ciliochoroidal effusions in a 43-year-old otherwise healthy female. An autoimmune and inflammatory work-up was negative, and the patient was not on any medications or supplements. She had been using a red-light therapy (RLT) mask over the past two weeks, including the morning of her presentation.
Observations
The underlying mechanism of the patient's presentation was most consistent with secondary angle-closure due to ciliochoroidal effusions and anterior rotation of the ciliary body. The only recent lifestyle change was the new use of RLT mask therapy for over two weeks. With prompt diagnosis, close outpatient monitoring, cessation of the RLT mask use, and careful titration of IOP-lowering, cycloplegic, and steroid medications, the patient returned to her baseline vision of 20/20 OU and had bilateral choroidal effusions resolve.
Conclusion and importance
Choroidal effusions have not been previously described in association with at-home RLT mask use; however, existing evidence suggests that RLT exposure may increase choroidal vascularity and thickness. Following cessation of RLT and appropriate medical management, the patient had complete resolution of the ciliochoroidal effusions and full recovery of vision. Further investigation is warranted to better characterize the ocular safety profile of RLT devices.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).
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