Combination of trabeculotomy and trabeculectomy in a case having developmental glaucoma associated with Axenfeld-Rieger anomaly

Axenfeld-Rieger anomalisi olan gelişimsel glokomlu bir olguda kombine trabekülotomi-trabekülektomi

Abstract

Axenfeld-Rieger anomaly (ARA) is characterized with prominent Schwalbe’s line (posterior embryotoxon), tissue strands extending from angle to iris, iridocorneal adhesions, stromal hypoplasia, atrophy and hole formation in iris, displacement of pupil and ectropion uveae. Systemic findings such as facial, dental and cardiovascular anomalies, umbilical hernia, hypospadiasis and mental retardation are detected in addition to ocular anomalies in Axenfeld-Rieger syndrome (ARS). We discuss the combined trabeculotomy and trabeculectomy and the strange genetic presentation in a 4 month-old baby having developmental glaucoma associated with Axenfeld-Rieger anomaly.

Özet

Axenfeld-Rieger anomalisi (ARA) belirgin Schwalbe hattı (posterior embryotokson), açıdan irise ulaşan doku uzantıları, iridokorneal yapışıklıklar, irisde stromal hipoplazi, atrofi, delik gelişimi, pupilada yer değişikliği ve ektropion uvea ile zengin göz bulgularına sahiptir. Tabloya sistemik anomalilerin de eşlik etmesiyle (yüz ve dişler ile kardiovasküler anomaliler, umblikal herni, hipospadias, mental retardasyon) Axenfeld-Rieger sendromundan (ARS) söz edilir.