A Case of Congenital Glaucoma in Associated with Nail-patella Syndrome
10.3341/jkos.2018.59.7.687
- Author:
Soomin LEE
1
;
Jong Chul HAN
;
Chang Won KEE
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ckee@skku.edu
- Publication Type:Case Report
- Keywords:
Congenital glaucoma;
Nail dysplasia;
Nail-patella syndrome
- MeSH:
Anesthesia, General;
Congenital Abnormalities;
Corneal Opacity;
Diagnosis;
Elbow;
Female;
Glaucoma;
Humans;
Infant;
Intraocular Pressure;
Knee;
Musculoskeletal Abnormalities;
Nail-Patella Syndrome;
Orthopedics;
Patella;
Trabeculectomy;
Twins, Dizygotic
- From:Journal of the Korean Ophthalmological Society
2018;59(7):687-690
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of congenital glaucoma associated with nail-patella syndrome. CASE SUMMARY: A 20-day-old female was referred to our clinic for bilateral intraocular pressure (IOP) elevation and treatment of corneal opacities. Her IOP was 25 mmHg and 30 mmHg in the right and left eyes, respectively. After a diagnosis of congenital glaucoma, bilateral trabeculotomy was performed under general anesthesia. On the first postoperative day, the IOP was 12 mmHg in the right eye and 10 mmHg in the left eye, and remained stable thereafter. The infant was the second of fraternal twins (birth weight of 2.42 kg) and had no family history of any particular disease. During the regular checkup, she was referred to an orthopedic clinic for disorders of the elbow and knee. She presented with a dystrophic thumbnail, patella hypoplasia, elbow hypoplasia, and bilateral triangular protrusions of the lateral iliac crest (iliac horn). Based on the above findings, typical nail-patella syndrome was diagnosed and a mutation in the LMX1B gene was detected. CONCLUSIONS: If glaucoma patients have nail deformities or musculoskeletal abnormalities, nail-patella syndrome should be suspected and a multidisciplinary approach should be conducted.
