Enhanced Visibility of the Retinal Nerve Fiber Layer Defects by the Underlying Diffuse Choroidal Angioma in Sturge Weber Syndrome with Glaucoma

AIM: To describe a unique finding in a patient with Sturge–Weber syndrome (SWS) accompanied by glaucoma. BACKGROUND: Cases with SWS may have an associated choroidal angioma and glaucoma. The localized retinal nerve fiber layer (RNFL) defects induced by the associated glaucoma are better detected against the red background of the associated choroidal angioma. CASE DESCRIPTION: A 15-year-old boy was presented with left-side SWS. The case was subjected to full clinical examination, intraocular pressure (IOP) measurements, color fundus photography, ultrasonography, visual field assessment, and optical coherence tomography (OCT) of the peripapillary RNFL and ganglion cell layer (GCC) analysis. The main clinical finding was the enhanced detection of defects of the RNFL against the red color of associated choroidal angioma in this glaucomatous eye. CONCLUSION: There is enhanced clinical visibility of RNFL defects in presence of associated diffuse choroidal angioma in Sturge–Weber glaucoma. CLINICAL SIGNIFICANCE: Easier clinical detection of RNFL defects in SWS glaucoma associated with diffuse choroidal angioma. HOW TO CITE THIS ARTICLE: Abdelrahman AM. Enhanced Visibility of the Retinal Nerve Fiber Layer Defects by the underlying Diffuse Choroidal Angioma in Sturge Weber Syndrome with Glaucoma. J Curr Glaucoma Pract 2023;17(1):52-54.