First unilateral glaucoma in an Omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uvea

A 4½-year-old boy presented to the ophthalmology clinic with intermittent left eye (LE) redness, protrusion, and reduced LE vision. He was noticed to have multiple skin hyperpigmented lesions increasing in size and number since birth. Clinically diagnosed as neurofibromatosis (NF)-type I associated...

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Main Authors: Asaad Al-Habsi, Nouf Al-Farsi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2023;volume=16;issue=1;spage=106;epage=109;aulast=Al-Habsi
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author Asaad Al-Habsi
Nouf Al-Farsi
author_facet Asaad Al-Habsi
Nouf Al-Farsi
author_sort Asaad Al-Habsi
collection DOAJ
description A 4½-year-old boy presented to the ophthalmology clinic with intermittent left eye (LE) redness, protrusion, and reduced LE vision. He was noticed to have multiple skin hyperpigmented lesions increasing in size and number since birth. Clinically diagnosed as neurofibromatosis (NF)-type I associated with LE glaucoma, axial myopia, and amblyopia. He was started on topical timolol eye drops, then switched his timolol to latanoprost due to parasomnia (sleep disturbances and sleepwalking), and his symptoms improved significantly within 6 weeks with controlled intraocular pressure. NF-1 is a congenital multisystemic disease which needs special attention and continuous monitoring. Unilateral glaucoma is not a common association but can be the presenting ophthalmic manifestation. Multidisciplinary management is crucial for these patients.
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spelling doaj.art-0a8f22b9e43448d8a870093ead1cad162023-03-21T11:25:38ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2023-01-0116110610910.4103/ojo.ojo_34_22First unilateral glaucoma in an Omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uveaAsaad Al-HabsiNouf Al-FarsiA 4½-year-old boy presented to the ophthalmology clinic with intermittent left eye (LE) redness, protrusion, and reduced LE vision. He was noticed to have multiple skin hyperpigmented lesions increasing in size and number since birth. Clinically diagnosed as neurofibromatosis (NF)-type I associated with LE glaucoma, axial myopia, and amblyopia. He was started on topical timolol eye drops, then switched his timolol to latanoprost due to parasomnia (sleep disturbances and sleepwalking), and his symptoms improved significantly within 6 weeks with controlled intraocular pressure. NF-1 is a congenital multisystemic disease which needs special attention and continuous monitoring. Unilateral glaucoma is not a common association but can be the presenting ophthalmic manifestation. Multidisciplinary management is crucial for these patients.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2023;volume=16;issue=1;spage=106;epage=109;aulast=Al-Habsiectropion uveaglaucomaneurofibromatosis-iproptosis
spellingShingle Asaad Al-Habsi
Nouf Al-Farsi
First unilateral glaucoma in an Omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uvea
Oman Journal of Ophthalmology
ectropion uvea
glaucoma
neurofibromatosis-i
proptosis
title First unilateral glaucoma in an Omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uvea
title_full First unilateral glaucoma in an Omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uvea
title_fullStr First unilateral glaucoma in an Omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uvea
title_full_unstemmed First unilateral glaucoma in an Omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uvea
title_short First unilateral glaucoma in an Omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uvea
title_sort first unilateral glaucoma in an omani boy with neurofibromatosis type 1 initially presented as proptosis with ectropion uvea
topic ectropion uvea
glaucoma
neurofibromatosis-i
proptosis
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2023;volume=16;issue=1;spage=106;epage=109;aulast=Al-Habsi
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AT noufalfarsi firstunilateralglaucomainanomaniboywithneurofibromatosistype1initiallypresentedasproptosiswithectropionuvea