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The authors report on three cases of unilateral congenital ectropion uveae with glaucoma. The patients were six, 11, and 20 years old when ectropion was diagnosed. Ectropion uveae surrounded the pupil by 360° and the visible stroma was hypoplastic on the affected side in all patients. Each affected eye had pigment on the lens surface in the pupillary area that was thought to be a persistent pupillary membrane. Gonioscopy revealed a hypoplastic angle in all involved eyes, and the iris was inserted anteriorly at the level of Schwalbe's line in all eyes. The corneal diameter was larger than normal in one eye, but no striae were seen. Medical therapy was not effective in decreasing intraocular pressure, so operative intervention was needed in all cases. One patient underwent trabeculotomy twice, another underwent goniotomy and trabeculectomy with 5-fluorouracil, and another underwent trabeculectomy. Intraocular pressure has been controlled and visual acuity has remained the same in all patients. LA: Japanese
Dr. A. Sone, Department of Ophthalmology, Sapporo Medical University School of Medicine, S1 W16 Chuo-ku, Sapporo 060-8543, Japan
9.4.3.5 Other (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.3 Glaucomas associated with disorders of the iris and ciliary body)