Pigment dispersion syndrome and pigmentary glaucoma are relatively common diseases in myopic, young, male patients. Although various mechanisms responsible for pigment dispersion are proposed, the contact between concave posterior iris surface and anterior zonules is most accepted pathology in this entity. In this study, the clinical features including anterior segment imaging by means of ultrasound biomicroscopy and the response to the treatment protocol as combined laser peripheral iridotomy and selective laser trabeculoplasty will be discussed.