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Keratoglobus: a close entity to megalophthalmos

BACKGROUND: Keratoglobus closely resembles buphthalmos and anterior megalophthalmos. FINDINGS: A 45-year-old man presented with gradually progressive, painless, diminution of vision in both eyes since childhood. On examination, visual acuity of right (RE) and left eye (LE) was 20/60 and 2/20 respect...

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Autores principales: Gupta, Noopur, Ganger, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870505/
https://www.ncbi.nlm.nih.gov/pubmed/27330900
http://dx.doi.org/10.1186/s40064-016-2307-1
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author Gupta, Noopur
Ganger, Anita
author_facet Gupta, Noopur
Ganger, Anita
author_sort Gupta, Noopur
collection PubMed
description BACKGROUND: Keratoglobus closely resembles buphthalmos and anterior megalophthalmos. FINDINGS: A 45-year-old man presented with gradually progressive, painless, diminution of vision in both eyes since childhood. On examination, visual acuity of right (RE) and left eye (LE) was 20/60 and 2/20 respectively. Clinical pictures of the patient are shown in panel A, B, C, D. Keratometry values were 46.47/47.94 D at 42/132° in RE and 46.90/47.23 D at 174/84° in LE, signifying steep, ectatic cornea. Axial lengths, anterior chamber depth and corneal thickness in RE/LE was 23.53/27.12 mm, 5.18/4.48 mm and 413/420 μm respectively. Iridodonesis was noted in left eye. Retinal evaluation of LE revealed retinal detachment (RD) with posterior staphyloma due to high myopia, hereas RE was within normal limits. Intraocular pressure was normal in both eyes. Final diagnosis was keratoglobus with LE myopic RD. The patient improved to 20/30 in right eye with no improvement in LE with scleral contact lens. CONCLUSION: Keratoglobus, Megalophthalmos and Buphthalmos are exceedingly close entities and it is very essential to make correct diagnosis, as management options differ significantly for all three diseases.
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spelling pubmed-48705052016-06-21 Keratoglobus: a close entity to megalophthalmos Gupta, Noopur Ganger, Anita Springerplus Short Report BACKGROUND: Keratoglobus closely resembles buphthalmos and anterior megalophthalmos. FINDINGS: A 45-year-old man presented with gradually progressive, painless, diminution of vision in both eyes since childhood. On examination, visual acuity of right (RE) and left eye (LE) was 20/60 and 2/20 respectively. Clinical pictures of the patient are shown in panel A, B, C, D. Keratometry values were 46.47/47.94 D at 42/132° in RE and 46.90/47.23 D at 174/84° in LE, signifying steep, ectatic cornea. Axial lengths, anterior chamber depth and corneal thickness in RE/LE was 23.53/27.12 mm, 5.18/4.48 mm and 413/420 μm respectively. Iridodonesis was noted in left eye. Retinal evaluation of LE revealed retinal detachment (RD) with posterior staphyloma due to high myopia, hereas RE was within normal limits. Intraocular pressure was normal in both eyes. Final diagnosis was keratoglobus with LE myopic RD. The patient improved to 20/30 in right eye with no improvement in LE with scleral contact lens. CONCLUSION: Keratoglobus, Megalophthalmos and Buphthalmos are exceedingly close entities and it is very essential to make correct diagnosis, as management options differ significantly for all three diseases. Springer International Publishing 2016-05-17 /pmc/articles/PMC4870505/ /pubmed/27330900 http://dx.doi.org/10.1186/s40064-016-2307-1 Text en © The Author(s) 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.
spellingShingle Short Report
Gupta, Noopur
Ganger, Anita
Keratoglobus: a close entity to megalophthalmos
title Keratoglobus: a close entity to megalophthalmos
title_full Keratoglobus: a close entity to megalophthalmos
title_fullStr Keratoglobus: a close entity to megalophthalmos
title_full_unstemmed Keratoglobus: a close entity to megalophthalmos
title_short Keratoglobus: a close entity to megalophthalmos
title_sort keratoglobus: a close entity to megalophthalmos
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870505/
https://www.ncbi.nlm.nih.gov/pubmed/27330900
http://dx.doi.org/10.1186/s40064-016-2307-1
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