Cargando…
Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia
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- cl...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4705587/ https://www.ncbi.nlm.nih.gov/pubmed/26743931 http://dx.doi.org/10.1186/s12886-015-0173-1 |
_version_ | 1782409041461379072 |
---|---|
author | Mosaed, Sameh Jacobsen, Bradley H. Lin, Ken Young |
author_facet | Mosaed, Sameh Jacobsen, Bradley H. Lin, Ken Young |
author_sort | Mosaed, Sameh |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4705587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47055872016-01-09 Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia Mosaed, Sameh Jacobsen, Bradley H. Lin, Ken Young BMC Ophthalmol Case Report 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. BioMed Central 2016-01-07 /pmc/articles/PMC4705587/ /pubmed/26743931 http://dx.doi.org/10.1186/s12886-015-0173-1 Text en © Mosaed et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Mosaed, Sameh Jacobsen, Bradley H. Lin, Ken Young Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia |
title | Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia |
title_full | Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia |
title_fullStr | Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia |
title_full_unstemmed | Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia |
title_short | Case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia |
title_sort | case report: imaging and treatment of ophthalmic manifestations in oculodentodigital dysplasia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4705587/ https://www.ncbi.nlm.nih.gov/pubmed/26743931 http://dx.doi.org/10.1186/s12886-015-0173-1 |
work_keys_str_mv | AT mosaedsameh casereportimagingandtreatmentofophthalmicmanifestationsinoculodentodigitaldysplasia AT jacobsenbradleyh casereportimagingandtreatmentofophthalmicmanifestationsinoculodentodigitaldysplasia AT linkenyoung casereportimagingandtreatmentofophthalmicmanifestationsinoculodentodigitaldysplasia |