Ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous management

A 13-year-old girl with a systemic diagnosis of homocystinuria (methylenetetrahydrofolate reductase deficiency type) associated with intellectual disability, skeletal abnormalities (genu varum, kyphoscoliosis, and arachnodactyly), and pancytopenia presented with bilateral ectopia lentis with anterio...

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Main Authors: Mary Stephen, Nirupama Kasturi, Amit Kumar Deb, P Jayasri, Subashini Kaliaperumal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Kerala Journal of Ophthalmology
Subjects:
Online Access:http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=3;spage=313;epage=315;aulast=Stephen
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author Mary Stephen
Nirupama Kasturi
Amit Kumar Deb
P Jayasri
Subashini Kaliaperumal
author_facet Mary Stephen
Nirupama Kasturi
Amit Kumar Deb
P Jayasri
Subashini Kaliaperumal
author_sort Mary Stephen
collection DOAJ
description A 13-year-old girl with a systemic diagnosis of homocystinuria (methylenetetrahydrofolate reductase deficiency type) associated with intellectual disability, skeletal abnormalities (genu varum, kyphoscoliosis, and arachnodactyly), and pancytopenia presented with bilateral ectopia lentis with anterior lens dislocation and secondary glaucoma in the left eye. Following medical management of glaucoma, the child underwent pars plana lensectomy with sutureless scleral fixation of the intraocular lens under general anesthesia. On follow-up, the intraocular pressure was controlled. The patient has also been started on systemic medications as per the pediatrician's advice.
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spelling doaj.art-a181dacfd6fb43ffba7f597dfecd83a12024-04-01T12:58:19ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772023-01-0135331331510.4103/kjo.kjo_168_21Ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous managementMary StephenNirupama KasturiAmit Kumar DebP JayasriSubashini KaliaperumalA 13-year-old girl with a systemic diagnosis of homocystinuria (methylenetetrahydrofolate reductase deficiency type) associated with intellectual disability, skeletal abnormalities (genu varum, kyphoscoliosis, and arachnodactyly), and pancytopenia presented with bilateral ectopia lentis with anterior lens dislocation and secondary glaucoma in the left eye. Following medical management of glaucoma, the child underwent pars plana lensectomy with sutureless scleral fixation of the intraocular lens under general anesthesia. On follow-up, the intraocular pressure was controlled. The patient has also been started on systemic medications as per the pediatrician's advice.http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=3;spage=313;epage=315;aulast=Stephendislocated lenshomocystinuriaintraocular pressurelensectomymethylenetetrahydrofolate reductase
spellingShingle Mary Stephen
Nirupama Kasturi
Amit Kumar Deb
P Jayasri
Subashini Kaliaperumal
Ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous management
Kerala Journal of Ophthalmology
dislocated lens
homocystinuria
intraocular pressure
lensectomy
methylenetetrahydrofolate reductase
title Ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous management
title_full Ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous management
title_fullStr Ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous management
title_full_unstemmed Ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous management
title_short Ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous management
title_sort ocular complications in methylenetetrahydrofolate reductase deficiency and its meticulous management
topic dislocated lens
homocystinuria
intraocular pressure
lensectomy
methylenetetrahydrofolate reductase
url http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=3;spage=313;epage=315;aulast=Stephen
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AT amitkumardeb ocularcomplicationsinmethylenetetrahydrofolatereductasedeficiencyanditsmeticulousmanagement
AT pjayasri ocularcomplicationsinmethylenetetrahydrofolatereductasedeficiencyanditsmeticulousmanagement
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