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Abstract #6777 Published in IGR 4-1
A case of glaucoma associated with congenital ectropion uveae
Takahashi M; Nakajima M; Kida T; Ikeda TFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2001; 52: 877-880
BACKGROUND: There are a few reports of glaucoma with congenital ectropion uveae in Japan. Many of these were unilateral cases. The authors treated a bilateral case, and report it here. CASE REPORT: A 24-year-old female was found to have congenital ectropion uveae. The surface of the iris was glassy smooth and there was dysgenesis of the drainage angle in both eyes. Intraocular pressure (IOP) was elevated, there was glaucomatous visual field loss, and optic disc cupping was noted in her right eye but not in the left eye. Mild blepharoptosis was noted bilaterally. The authors recommended that the patient undergo surgical treatment but she declined, so they controlled IOP medically. Three years later, central retinal vein occlusion and neovascular glaucoma occurred in her right eye. After panretinal photocoagulation, trabeculectomy with mitomycin C was performed on the right eye, resulting in IOP returning to an acceptable range. However, all vision was lost in the right eye. Two years later, IOP in the left eye increased and despite medical treatment remained poorly controlled. Trabeculotomy was performed in the left eye and was successful in controlling IOP. CONCLUSIONS: Congenital ectropion uveae can sometimes complicate glaucoma, so careful observation is needed to identify this condition in its early stage.
Dr. M. Takahashi, Department of Ophthalmology, Osaka Medical College, 2-7 Daigakumachi, Takatsuki 569-8686, Japan
Classification:
9.4.2.5 Other (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.2 Glaucomas associated with disorders of the cornea, conjunctiva, sclera)