Institut Català de Retina, Barcelona, Spain.
Postgraduate and Doctorate School, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.
Rom J Ophthalmol. 2020 Oct-Dec;64(4):455-458. doi: 10.22336/rjo.2020.70.
to describe a clinical case of ocular hypertension (OHT) in Axenfeld-Rieger Syndrome (ARS). Observational case report of a 43-year-old woman with background of OHT. The data was collected originally with a standardized electronic medical record. A complete ophthalmologic examination was performed. In the biomicroscopy, a posterior embryotoxon, iris atrophy with absence of crypts and irregularity of pigmentation, and discoria in OU were observed. Gonioscopy revealed an open angle with a prominent and anterior displaced Schwalbe line. Ocular fundus (OF) demonstrated small and oblique papillae, with normal neurorretinal ring. Functional tests were normal. The patient did not present systemic pathologies, so the diagnosis of Rieger anomaly was made. The IOP control was achieved with aqueous humor suppressants. Glaucoma is the main cause of visual morbidity in patients with ARS, therefore a complete periodic ophthalmological exam is a priority. :ARS = Axenfeld-Rieger Syndrome, RP = retinitis pigmentosa, IOP = Intraocular Pressure, BCVA = Best Corrected Visual Acuity, OR = right eye, OS = left eye, OU = both eyes, OF = ocular fundus, OCT = optical coherence tomography, VF = visual field, TBC = trabeculectomy.
描述 Axenfeld-Rieger 综合征（ARS）伴发的眼压升高（OHT）的临床病例。 对一名 43 岁女性 OHT 背景下的观察性病例报告。数据最初是通过标准化电子病历收集的。进行了全面的眼科检查。在眼前节检查中，观察到后胚胎性突、虹膜萎缩伴隐窝缺失和色素沉着不规则，双眼均存在虹膜异色。房角镜检查显示宽角伴 Schwalbe 线明显向前移位。眼底（OF）显示小而倾斜的视乳头，神经视网膜环正常。功能检查正常。患者未出现全身系统性疾病，因此诊断为 Rieger 异常。通过房水抑制剂控制眼压。 青光眼是 ARS 患者视力损害的主要原因，因此全面定期眼科检查是首要任务。 :ARS = Axenfeld-Rieger 综合征，RP = 色素性视网膜炎，IOP = 眼内压，BCVA = 最佳矫正视力，OR = 右眼，OS = 左眼，OU = 双眼，OF = 眼底，OCT = 光学相干断层扫描，VF = 视野，TBC = 小梁切除术。
