Ziakas N G, Chranioti A, Malamas A, Leliopoulou O, Mataftsi A
1st Department of Ophthalmology, Aristotle University of Thessaloniki, AHEPA Hospital, 3 Pl. Ippodromiou Street, 54621, Thessaloniki, Greece.
Int Ophthalmol. 2014 Feb;34(1):97-8. doi: 10.1007/s10792-013-9735-5. Epub 2013 Feb 11.
Congenital ectropion uveae is a rare anomaly commonly associated with neurofibromatosis and occasionally with other ocular abnormalities. Glaucoma related with this condition may be present in infancy, or may develop later in life, and is thought to be due to an associated angle dysgenesis. Diagnosis is frequently delayed due to the subtle signs and the absence of symptoms and management is primarily surgical. We report an unusual case of unilateral congenital ectropion uveae in a 3-year-old child, with no evidence of neurofibromatosis, presenting as acute glaucoma, which was successfully managed by topical treatment only, avoiding surgical intervention.
先天性葡萄膜外翻是一种罕见的异常情况,通常与神经纤维瘤病相关,偶尔也与其他眼部异常有关。与这种情况相关的青光眼可能在婴儿期出现,也可能在生命后期发展,被认为是由于相关的房角发育异常所致。由于体征不明显且无症状,诊断常常延迟,治疗主要是手术。我们报告了一例3岁儿童单侧先天性葡萄膜外翻的罕见病例,该患儿无神经纤维瘤病证据,表现为急性青光眼,仅通过局部治疗就成功控制,避免了手术干预。