Hypersecretory glaucoma is seen in –
**Core Concept**
Hypersecretory glaucoma is a rare form of secondary glaucoma caused by excessive production of aqueous humor, leading to elevated intraocular pressure. It is most commonly associated with systemic conditions that trigger abnormal aqueous humor secretion, particularly in the context of acute, widespread vascular or metabolic disturbances.
**Why the Correct Answer is Right**
Epidemic dropsy (also known as epidemic glaucoma or epidemic keratoconjunctivitis) is a rare, acute condition seen in outbreaks, especially in tropical regions. It is characterized by hypersecretion of aqueous humor due to systemic inflammation or vascular congestion, often linked to bacterial infections or septicemia. The increased aqueous production overwhelms outflow, causing rapid rise in intraocular pressure and optic nerve damage. This condition is not a chronic disease but an acute, infectious, and hypersecretory form of glaucoma.
**Why Each Wrong Option is Incorrect**
Option B: Marfan's syndrome is associated with ectopia lentis and increased risk of cataracts and lens dislocation, but not hypersecretory glaucoma. It may cause glaucoma due to structural changes, not increased aqueous production.
Option C: Hypertension is a risk factor for secondary glaucoma but does not cause hypersecretory glaucoma. It primarily affects the vascular system and may lead to occlusive glaucoma, not hypersecretion.
Option D: Diabetes can cause secondary glaucoma via vascular complications or cataracts, but it is not linked to hypersecretion of aqueous humor.
**Clinical Pearl / High-Yield Fact**
Epidemic dropsy is a rare, acute, infectious cause of hypersecretory glaucoma, often appearing in outbreaks. It should be considered in patients with sudden, severe eye pain and high intraocular pressure during epidemics, especially in tropical areas.
✓ Correct Answer: A. Epidemic dropsy