Saleem Adnan Aslam, Ali Mahmood, Akhtar Farah
Department of Ophthalmology, Al-Shifa Trust Eye Hospital, Rawalpindi.
J Coll Physicians Surg Pak. 2014 May;24 Suppl 2:S112-4.
A 19 years boy with a 2 years history of reduced and fluctuating vision along with change in pupillary shape and iris colour in his left eye presented to the glaucoma clinic. Ocular examination revealed distinct unilateral stretch holes, iris architecture changes and localized iris atrophy. Intraocular pressure was 16 mmHg in the right and 36 mmHg in the left eye. Gonioscopy of the left angle revealed broad based peripheral anterior synechiae at approximately 2 O'clock to 10 O'clock hours. The optic disc of the left eye had a vertical cup of 0.9 which manifest as superior and inferior arcuate scotoma. Specular microscopy showed unilateral abnormal endothelium with irregular cells of variable shape and size. To our knowledge, this is only the second reported case of iridocorneal endothelial syndrome in a male teenager.
一名19岁男孩因左眼视力下降且波动已有2年，并伴有瞳孔形状和虹膜颜色改变，前来青光眼门诊就诊。眼部检查发现明显的单侧牵拉孔、虹膜结构改变和局限性虹膜萎缩。右眼眼压为16 mmHg，左眼眼压为36 mmHg。左眼房角镜检查显示在大约2点至10点处有宽基底周边前粘连。左眼视盘垂直杯盘比为0.9，表现为上下弓形暗点。镜面显微镜检查显示单侧内皮异常，细胞形状和大小不规则。据我们所知，这是第二例报道的男性青少年虹膜角膜内皮综合征病例。
