Unilateral recalcitrant glaucoma associated with cytomegalovirus in an immunocompromised child with Wiskott-Aldrich syndrome.

[wiskott-aldrich syndrome]

We report a case of anterior uveitis and unilateral recalcitrant glaucoma in an immunocompromised 6 -year -old boy diagnosed with Wiskott-Aldrich syndrome who presented with elevated intraocular pressure (IOP ), mild anterior uveitis , and unilateral acute glaucoma . Polymerase chain reaction from the aqueous was positive for cytomegalovirus (CMV ). After initially responding to ganciclovir , the IOP rose again . With worsening optic nerve status , the patient underwent glaucoma filtration surgery with mitomycin C , and a postoperative regimen for CMV retinitis was initiated .