Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia
| Autor: | Ken Y. Lin, Sameh Mosaed, Bradley H. Jacobsen |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Intraocular pressure Open angle glaucoma genetic structures Foot Deformities Congenital Craniofacial abnormality Ultrasound biomicroscopy Gonioscopy Microscopy Acoustic Glaucoma Case Report Oculodentodigital dysplasia Craniofacial Abnormalities 03 medical and health sciences 0302 clinical medicine Ciliary body Chronic angle closure Ophthalmology medicine Humans Eye Abnormalities Child Glaucoma Drainage Implants Intraocular Pressure medicine.diagnostic_test business.industry Cysts Tooth Abnormalities Ciliary Body Ciliary body cysts General Medicine Uveal Diseases medicine.disease eye diseases Surgery medicine.anatomical_structure Chronic Disease 030221 ophthalmology & optometry Female sense organs Syndactyly business Glaucoma Angle-Closure 030217 neurology & neurosurgery |
| Zdroj: | BMC Ophthalmology |
| ISSN: | 1471-2415 |
| Popis: | Background Diagnostic and surgical management of severe chronic angle- closure glaucoma secondary to ciliary body cysts can be difficult to manage in a patient with oculodentodigital dysplasia. Case presentation A 6-year old girl with oculodentodigital dysplasia, with progressive chronic angle- closure glaucoma secondary to ciliary body cysts presented to our clinic. The initial examination revealed counting fingers vision in the left eye. Intraocular pressure (IOP), as assessed by tonopen, was 31 mm Hg. Ultrasound biomicroscopy revealed ciliary body cysts in the left eye, and gonioscopy confirmed chronic angle closure. A tube shunt was placed to control the elevated IOP. A year after her tube shunt placement in the left eye, ultrasound biomiscropy was performed on her right eye and showed no ciliary body cysts. Gonioscopy in the right eye revealed an open angle to the ciliary body band. Subsequent serial gonioscopy every 3 months showed gradual narrowing of the right eye angle and finally three-and-a-half years after tube placement of the left eye, her right eye IOP became uncontrolled with medications alone and a tube shunt was similarly placed in the right eye. Intraoperative ultrasound biomicroscopy performed at the time of the right eye tube shunt revealed extensive ciliary body cysts in the right eye. Her IOP in both eyes have been well controlled since the placement of tube shunts. Conclusions This is one of the first reported cases of severe chronic angle- closure glaucoma secondary to ciliary body cysts in a patient with oculodentodigital dysplasia. We believe that early screening for ciliary body cysts is important in patients with oculodentodigital dysplasia. |
| Databáze: | OpenAIRE |
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