Atypical corneal clouding in mucopolysaccharidoses

The etiology for corneal clouding from the birth is varied and includes conditions such as sclerocornea, birth trauma, corneal ulcer, Peters anomaly, and rare causes like mucopolysaccharidoses (MPS). The lysosomal storage disorders are associated with a varied ocular manifestation including bilatera...

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Main Authors: Mary Stephen, M Loganathan, S Swathi, B Priyavadhana
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=154;epage=156;aulast=Stephen
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author Mary Stephen
M Loganathan
S Swathi
B Priyavadhana
author_facet Mary Stephen
M Loganathan
S Swathi
B Priyavadhana
author_sort Mary Stephen
collection DOAJ
description The etiology for corneal clouding from the birth is varied and includes conditions such as sclerocornea, birth trauma, corneal ulcer, Peters anomaly, and rare causes like mucopolysaccharidoses (MPS). The lysosomal storage disorders are associated with a varied ocular manifestation including bilateral corneal clouding which is often mild and stippled except in few cases like Hunter syndrome where cornea is often clear. We report a case of MPS Type I S (MPS 1) with near-normal visual acuity and bilateral dense corneal clouding with sparing of central 3 mm of cornea. The patient also had typical facial and skeletal abnormalities of lysosomal storage disorder. To our best knowledge, MPS 1 with marked corneal clouding with sparing of central cornea is very rare and has not been reported. This case report emphasizes on the atypical ocular presentation of MPS and the need for ophthalmological screening in the storage disorders.
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spelling doaj.art-faaefbaf112e4d76b3b6d4a274288d1f2023-03-21T11:25:38ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2023-01-0116115415610.4103/ojo.ojo_14_22Atypical corneal clouding in mucopolysaccharidosesMary StephenM LoganathanS SwathiB PriyavadhanaThe etiology for corneal clouding from the birth is varied and includes conditions such as sclerocornea, birth trauma, corneal ulcer, Peters anomaly, and rare causes like mucopolysaccharidoses (MPS). The lysosomal storage disorders are associated with a varied ocular manifestation including bilateral corneal clouding which is often mild and stippled except in few cases like Hunter syndrome where cornea is often clear. We report a case of MPS Type I S (MPS 1) with near-normal visual acuity and bilateral dense corneal clouding with sparing of central 3 mm of cornea. The patient also had typical facial and skeletal abnormalities of lysosomal storage disorder. To our best knowledge, MPS 1 with marked corneal clouding with sparing of central cornea is very rare and has not been reported. This case report emphasizes on the atypical ocular presentation of MPS and the need for ophthalmological screening in the storage disorders.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2023;volume=16;issue=1;spage=154;epage=156;aulast=Stephencorneal cloudingmucopolysaccharidoses type 1mucopolysaccharidosesskeletal deformitiesstorage disorders
spellingShingle Mary Stephen
M Loganathan
S Swathi
B Priyavadhana
Atypical corneal clouding in mucopolysaccharidoses
Oman Journal of Ophthalmology
corneal clouding
mucopolysaccharidoses type 1
mucopolysaccharidoses
skeletal deformities
storage disorders
title Atypical corneal clouding in mucopolysaccharidoses
title_full Atypical corneal clouding in mucopolysaccharidoses
title_fullStr Atypical corneal clouding in mucopolysaccharidoses
title_full_unstemmed Atypical corneal clouding in mucopolysaccharidoses
title_short Atypical corneal clouding in mucopolysaccharidoses
title_sort atypical corneal clouding in mucopolysaccharidoses
topic corneal clouding
mucopolysaccharidoses type 1
mucopolysaccharidoses
skeletal deformities
storage disorders
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2023;volume=16;issue=1;spage=154;epage=156;aulast=Stephen
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AT mloganathan atypicalcornealcloudinginmucopolysaccharidoses
AT sswathi atypicalcornealcloudinginmucopolysaccharidoses
AT bpriyavadhana atypicalcornealcloudinginmucopolysaccharidoses