Hereditary anterior megalophthalmos with posterior vitreoretinopathy: a surgical challenge

Rao, Aparna; Videkar, Chetan

doi:10.1136/bcr-2013-202212

Cited by 8 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even in three eyes of our series with unremarkable macula, the best corrected visual acuity was not >20/80 perhaps due to ammetropic amblyopia. The age of presentation was lower in our cases as compared to previous literature [3,7,11], perhaps due to a greater referral of paediatric vitreoretinal cases to our tertiary care referral centre.…”

Section: Discussioncontrasting

confidence: 73%

See 1 more Smart Citation

Ocular abnormalities and complications in anterior megalophthalmos: a case series

Kumawat

Alam

Sahay

et al. 2019

Eye

View full text Add to dashboard Cite

Objectives To describe the clinical and Scheimpflug imaging features in cases of anterior megalophthalmos (AM). Methods Retrospective record review was performed for patients with AM who presented between June 2017 and May 2018. Clinical history, slit lamp examination, Scheimpflug imaging indices (Pentacam-HR, Oculus, GmbH), dilated fundus examination and treatment records were reviewed. ResultsThe study included eight eyes of four male patients (mean age 6.5 years, range 4-10 years). Corrected distance visual acuity ranged from finger counting to 20/80. The mean horizontal corneal diameter, central corneal thickness, steep keratometry, flat keratometry, anterior chamber (AC) angle, AC depth, maximum pupil diameter and axial length were 13.8 ± 0.5 mm, 538.7 ± 68.9 µm, 42.8 ± 1.6 D, 41.4 ± 0.9D, 47.0 ± 4.2 degree, 3.8 ± 0.3 mm, 3.9 ± 0.1 mm, and 24.9 ± 0.9 mm, respectively. Posterior dislocation of crystalline lens, vitreous degeneration and rhegmatogenous retinal detachment (consequent of retinal dialysis/atrophic hole/lattice with hole) were noted in seven, eight and five eyes, respectively. Pigment dispersion glaucoma was noted in both eyes of one patient, which was managed with topical anti-glaucoma medication. Vitrectomy with silicone oil tamponade was successful in retinal reattachment in all three eyes that underwent surgery. Conclusion Scheimpflug imaging helps in demonstrating the corneal and anterior segment pathological changes in AM. The disease extends to involve the zonules, vitreous and retina as well. Ophthalmologists should be able to identify this disorder, recognise and manage the associations and complications.

show abstract

Section: Discussioncontrasting

confidence: 73%

“…Enough literature exists on morphological types of cataract, cataract surgery and its complications in adult patients with AM [5]. The posterior segment changes in the form of vitreo-retinopathy and pigmentary glaucoma are scarcely reported in AM [1,3,6,7]. Scheimpflug imaging (SI) in a couple of cases of AM has also been reported [8,9].…”

Section: Introductionmentioning

confidence: 99%

Ocular abnormalities and complications in anterior megalophthalmos: a case series

Kumawat

Alam

Sahay

et al. 2019

Eye

View full text Add to dashboard Cite

show abstract

“…It must be noted that glaucoma has been reported in anterior megalophthalmos - but those are largely secondary to lens subluxation or ciliary body abnormalities. Other reported ocular associations include iris hypoplasia, zonular weakness, angle abnormalities, Descemet’s detachment, posterior dislocation of lens, vitreous degeneration, and retinal detachment [ 8 , 9 ]. Cataract surgery in adults with anterior megalophthalmos has also been reported adequately in the literature [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Epiblepharon in a Case of Anterior Megalophthalmos: A Diagnostic Red Herring

Nair

Agashe

Doshi³

2021

Cureus

View full text Add to dashboard Cite

Epiblepharon is a condition characterized by the presence of a congenital horizontal fold of skin near the upper or lower eyelid margin and rarely requires intervention. In this communication, we present the case of a five-month-old child who had enlarged eyes, tearing, and intense photophobia; and was referred to as a case of congenital glaucoma. Congenital or infantile glaucoma can, indeed present with enlarged eyes, watering, and photophobia. However, in the absence of optic disc cupping and elevated intraocular pressures, a diagnosis of anterior megalophthalmos should be considered, especially in the presence of a very deep anterior chamber. Subsequent evaluation in our case established the diagnosis of anterior megalophthalmos along with concomitant bilateral epiblepharon. The child underwent surgery to correct the epiblepharon, following which, the tearing and photophobia resolved. The clinical characteristics of anterior megalophthalmos and the causality between an enlarged globe and epiblepharon are discussed in this article.

show abstract

“…Rao and Videkar reported the case of a 12-year-old boy with congenital glaucoma who was found to have wide lattice degeneration in the upper region of both eyes, which resulted in the formation of a tear and, ultimately, bullous RD. [12]…”

Section: Discussionmentioning

confidence: 99%

Rhegmatogenous retinal detachment with a giant tear located in the intermediate periphery

Kohmoto

Fukumoto²,

Sato³

et al. 2019

Medicine

View full text Add to dashboard Cite

Rationale:We experienced 2 cases of retinal detachment (RD) with giant tears located in the intermediate periphery of the fundus. In this case report, we investigated the clinical characteristics in these 2 cases.Patient concerns and diagnoses:Case 1 involved a 63-year-old male, who became aware of metamorphopsia and decreased visual acuity (VA) in his left eye. Upon examination, he was diagnosed with a giant tear at the margin of the intermediate peripheral lattice degeneration. Case 2 involved a 54-year-old male, who became aware of decreased VA in his right eye. Upon examination, he was diagnosed with vitreous hemorrhage and a giant tear located in the upper intermediate periphery. In these 2 cases, there was no obvious previous or familial history.Interventions:In both cases, reattachment was achieved by performing vitrectomies.Outcomes:These 2 cases were characterized by the refraction being close to emmetropia due to the flat corneal curvature, even though there was a long axial length and the eyeballs were spherically large. In both cases, the postoperative clinical course outcome was favorable and no complication occurredLessons:Our findings indicate that intermediate peripheral giant tears may occur in spherically large eyeballs, and that vitreous surgery is effective in such cases. Since the risk of the onset of RD in the fellow eye is thought to be high, strict postoperative follow-up is necessary.

show abstract

Hereditary anterior megalophthalmos with posterior vitreoretinopathy: a surgical challenge

Cited by 8 publications

References 11 publications

Ocular abnormalities and complications in anterior megalophthalmos: a case series

Ocular abnormalities and complications in anterior megalophthalmos: a case series

Epiblepharon in a Case of Anterior Megalophthalmos: A Diagnostic Red Herring

Rhegmatogenous retinal detachment with a giant tear located in the intermediate periphery

Contact Info

Product

Resources

About