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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2016
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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. |
format | Online Article Text |
id | pubmed-4870505 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
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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