Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: A rarely reported association
A 26-year-old male presented to us with defective vision in the left eye. He had best corrected visual acuity (BCVA) of hand movement (HM) in right eye and 6/9 in left eye. He had ptosis with ectropion in both eyes and relative afferent pupillary defect (RAPD) in right eye. Intraocular pressure (IOP...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=8;spage=880;epage=884;aulast=Mitra |
| _version_ | 1828168474452557824 |
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| author | Arijit Mitra R Ramakrishnan Mohideen Abdul Kader |
| author_facet | Arijit Mitra R Ramakrishnan Mohideen Abdul Kader |
| author_sort | Arijit Mitra |
| collection | DOAJ |
| description | A 26-year-old male presented to us with defective vision in the left eye. He had best corrected visual acuity (BCVA) of hand movement (HM) in right eye and 6/9 in left eye. He had ptosis with ectropion in both eyes and relative afferent pupillary defect (RAPD) in right eye. Intraocular pressure (IOP) was 46 and 44 mmHg in right and left eye, respectively. Fundus showed glaucomatous optic atrophy (GOA) in right eye and cup disc ratio (CDR) of 0.75 with bipolar rim thinning in left eye. Systemic examination showed hyperextensible skin and joints, acrogeria, hypodontia, high arched palate, and varicose veins. He gave history of easy bruising and tendency to fall and history of intestinal rupture 5 years ago for which he had undergone surgery. He was diagnosed as a case of Type IV Ehler-Danlos syndrome (EDS) with open angle glaucoma. He underwent trabeculectomy in both eyes. This is a rare case that shows glaucoma in a patient of EDS Type IV. Very few such cases have been reported in literature. |
| first_indexed | 2024-04-12T02:34:17Z |
| format | Article |
| id | doaj.art-81e23cbe02ac4a90874d3125708edfca |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-12T02:34:17Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-81e23cbe02ac4a90874d3125708edfca2022-12-22T03:51:36ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162888088410.4103/0301-4738.141060Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: A rarely reported associationArijit MitraR RamakrishnanMohideen Abdul KaderA 26-year-old male presented to us with defective vision in the left eye. He had best corrected visual acuity (BCVA) of hand movement (HM) in right eye and 6/9 in left eye. He had ptosis with ectropion in both eyes and relative afferent pupillary defect (RAPD) in right eye. Intraocular pressure (IOP) was 46 and 44 mmHg in right and left eye, respectively. Fundus showed glaucomatous optic atrophy (GOA) in right eye and cup disc ratio (CDR) of 0.75 with bipolar rim thinning in left eye. Systemic examination showed hyperextensible skin and joints, acrogeria, hypodontia, high arched palate, and varicose veins. He gave history of easy bruising and tendency to fall and history of intestinal rupture 5 years ago for which he had undergone surgery. He was diagnosed as a case of Type IV Ehler-Danlos syndrome (EDS) with open angle glaucoma. He underwent trabeculectomy in both eyes. This is a rare case that shows glaucoma in a patient of EDS Type IV. Very few such cases have been reported in literature.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=8;spage=880;epage=884;aulast=MitraAcromegalycentral corneal thicknessintraocular pressureoptic disc topographyretinal nerve fiber layer thicknessBest-corrected visual acuityinner segment/outer segment junctionouter retinal corrugationrhegmatogenous retinal detachment Diabetic retinopathyIndian eyesnonmydriatic imagingscreening Capsulardehiscencefoldable intraocular lensinjector implantationscleral fixation Dexamethasonephacoemulsificationtriamcinolone acetonide Axial length elongationbody stature growthlifestylemyopia Cataractfloppy iris syndromephacoemulsificationtamsulosinAb externo surgical techniquecapsular tension ring displacementintact capsular bagintraocular lens luxationDiagnostic techniquesmacularretinal imagingtraumatic injuries Acrogeriaeasy bruisingEhler-Danlos syndromeglaucomahyper extensible jointstrabeculectomy |
| spellingShingle | Arijit Mitra R Ramakrishnan Mohideen Abdul Kader Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: A rarely reported association Indian Journal of Ophthalmology Acromegaly central corneal thickness intraocular pressure optic disc topography retinal nerve fiber layer thickness Best-corrected visual acuity inner segment/outer segment junction outer retinal corrugation rhegmatogenous retinal detachment Diabetic retinopathy Indian eyes nonmydriatic imaging screening Capsular dehiscence foldable intraocular lens injector implantation scleral fixation Dexamethasone phacoemulsification triamcinolone acetonide Axial length elongation body stature growth lifestyle myopia Cataract floppy iris syndrome phacoemulsification tamsulosin Ab externo surgical technique capsular tension ring displacement intact capsular bag intraocular lens luxation Diagnostic techniques macular retinal imaging traumatic injuries Acrogeria easy bruising Ehler-Danlos syndrome glaucoma hyper extensible joints trabeculectomy |
| title | Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: A rarely reported association |
| title_full | Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: A rarely reported association |
| title_fullStr | Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: A rarely reported association |
| title_full_unstemmed | Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: A rarely reported association |
| title_short | Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: A rarely reported association |
| title_sort | open angle glaucoma in a case of type iv ehler danlos syndrome a rarely reported association |
| topic | Acromegaly central corneal thickness intraocular pressure optic disc topography retinal nerve fiber layer thickness Best-corrected visual acuity inner segment/outer segment junction outer retinal corrugation rhegmatogenous retinal detachment Diabetic retinopathy Indian eyes nonmydriatic imaging screening Capsular dehiscence foldable intraocular lens injector implantation scleral fixation Dexamethasone phacoemulsification triamcinolone acetonide Axial length elongation body stature growth lifestyle myopia Cataract floppy iris syndrome phacoemulsification tamsulosin Ab externo surgical technique capsular tension ring displacement intact capsular bag intraocular lens luxation Diagnostic techniques macular retinal imaging traumatic injuries Acrogeria easy bruising Ehler-Danlos syndrome glaucoma hyper extensible joints trabeculectomy |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=8;spage=880;epage=884;aulast=Mitra |
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