Introduction: The prevalence of Weill-Marchesani syndrome (WMS) is estimated to be 1:100.000 proportion of the population. Knowledge of the clinical and therapy of WMS is expected to improve the ability to diagnose this disease. In this case report, we will present a case of WMS in a tertiary hospital because our findings are rare and essential concerning the symptomatic treatment and visual rehabilitation. Case Presentation: A 7-year-old child presented with blurred vision in the left eye. The patient showed an abnormal facial appearance with short stature and brachydactyly on both hands. The patient had a history of Intracapsular cataract extraction (ICCE) surgery on the right eye with an indication of anterior lens subluxation. The patient then suffered aphakic glaucoma in the right eye after surgery. Anterior segment examination of the right eye found an aphakic lens, conjunctival sclerectasia, atrophic iris, and mid-dilation pupil. Anterior segment of the left eye found an atrophic iris and lens subluxation. From the clinical appearance and the ocular disturbance, such as brachydactyly and short stature, the patient was diagnosed with suspected WMS. The patient was treated with ICCE surgery on the left eye and micropulse transscleral cyclophotocoagulation (MP-TSCPC) surgery on the right eye. Conclusion: WMS is a rare disease. It is essential to make an early diagnosis of glaucoma and ectopia lentis in WMS patients because it will affect their vision.

Introduction: Ocular trauma is an important cause of unilateral visual impairment and blindness. Among several agents of ocular trauma, blunt trauma is the most common and can lead to secondary glaucoma. Secondary glaucoma due to blunt ocular trauma can be unnoticed and undetected until the formation of glaucomatous optic neuropathy (GON) occurs. This case might not be neglected. Delay in treatment can lead to the progression of GON. Case Presentation: A 68-year-old woman presented to the outpatient clinic in Undaan Eye Hospital complaining of decreased vision and pain in the left eye after blunt trauma to the eye. Her left eye vision was limited to detecting hand motions (1/300) and the intraocular pressure (IOP) was 37.8 mmHg. On the slit lamp biomicroscopic examination, the left pupil was mid-dilated, lens opacification and phacodenesis were detected. The cup-to-disc ratio (CDR) of the left eye increased (0.8-0.9) through the funduscopic examination. Secondary glaucoma due to subluxated lens was diagnosed for the left eye. The patient was given topical and oral antiglaucoma medications and was evaluated after one week of drug use. Since the IOP remained elevated after medical therapy, left eye trabeculectomy was conducted. Bleb was formed postoperatively and the IOP was getting normal without oral glaucoma medications. Conclusion: Blunt ocular trauma can lead to secondary glaucoma. Thorough examinations and immediate treatments should be conducted to preserve patient’s vision and prevent further optic nerve damage.