A case of Axenfeld-Rieger syndrome and microcornea treated with trabeculotomy

Shino Sato, Tetsuya Baba, Kazuyuki Hirooka, Hirokazu Takenaka, Fumio Shiraga, Haruko Asano

Research output: Contribution to journalArticle

Abstract

Background: Several surgeons have reported that trabeculotomy is a successful procedure in cases of glaucoma associated with Axenfeld-Rieger (A-R) syndrome. However, the usefulness of procedures for treating severe goniodysgenesis or other ocular malformations have not been established. We report on a case in which glaucoma in a patient with A-R syndrome with severe microcornea and severe goniodysgenesis was successfully treated with trabeculotomy. Case Report: The patient was a 16-year-old girl with posterior embryotoxon and high insertion of the iris in the right eye. The iris was attached to the Schwalbe line from 3 o'clock to 12 o'clock, and trabecular meshwork was visible only from 12 o'clock to 3 o'clock. She had severe corneal opacity in the left eye and microcornea in both eyes. We diagnosed A-R syndrome based on the presence of a flattened midface and dental hypoplasia. Trabeculotomy was performed from 12 o'clock to 3 o'clock of the angle in the right eye, where goniodysgenesis was mild. Intraocular pressure has been well-controlled over the 7 months since surgery. Conclusion: Trabeculotomy to an area where the angle was open seems to have been effective in this case of A-R syndrome with severe goniodysgenesis.

Original languageEnglish
Pages (from-to)189-192
Number of pages4
JournalFolia Ophthalmologica Japonica
Volume56
Issue number3
Publication statusPublished - Mar 2005
Externally publishedYes

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Trabeculectomy
Iris
Glaucoma
Corneal Opacity
Trabecular Meshwork
Intraocular Pressure
Tooth
Axenfeld-Rieger syndrome

Keywords

  • Axenfeld-Rieger Syndrome
  • Glaucoma
  • Goniodysgenesis
  • Microcornea
  • Trabeculotomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Sato, S., Baba, T., Hirooka, K., Takenaka, H., Shiraga, F., & Asano, H. (2005). A case of Axenfeld-Rieger syndrome and microcornea treated with trabeculotomy. Folia Ophthalmologica Japonica, 56(3), 189-192.

A case of Axenfeld-Rieger syndrome and microcornea treated with trabeculotomy. / Sato, Shino; Baba, Tetsuya; Hirooka, Kazuyuki; Takenaka, Hirokazu; Shiraga, Fumio; Asano, Haruko.

In: Folia Ophthalmologica Japonica, Vol. 56, No. 3, 03.2005, p. 189-192.

Research output: Contribution to journalArticle

Sato, S, Baba, T, Hirooka, K, Takenaka, H, Shiraga, F & Asano, H 2005, 'A case of Axenfeld-Rieger syndrome and microcornea treated with trabeculotomy', Folia Ophthalmologica Japonica, vol. 56, no. 3, pp. 189-192.
Sato, Shino ; Baba, Tetsuya ; Hirooka, Kazuyuki ; Takenaka, Hirokazu ; Shiraga, Fumio ; Asano, Haruko. / A case of Axenfeld-Rieger syndrome and microcornea treated with trabeculotomy. In: Folia Ophthalmologica Japonica. 2005 ; Vol. 56, No. 3. pp. 189-192.
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