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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Oman Journal of Ophthalmology |
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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. |
first_indexed | 2024-04-09T23:23:40Z |
format | Article |
id | doaj.art-0a8f22b9e43448d8a870093ead1cad16 |
institution | Directory Open Access Journal |
issn | 0974-620X |
language | English |
last_indexed | 2024-04-09T23:23:40Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Oman Journal of Ophthalmology |
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 |
work_keys_str_mv | AT asaadalhabsi firstunilateralglaucomainanomaniboywithneurofibromatosistype1initiallypresentedasproptosiswithectropionuvea AT noufalfarsi firstunilateralglaucomainanomaniboywithneurofibromatosistype1initiallypresentedasproptosiswithectropionuvea |