Unusual presentation in Axenfeld-Rieger syndrome

Abstract

We report an unusual presentation of a case of Axenfeld-Rieger (A-R) syndrome. A 14-year-old male presented with gradual dimness of vision for 1 year and redness of left eye for 3 days. The patient had megalocornea with Haab′s striae in the right eye and posterior embryotoxon in both the eyes. In the left eye, there was a white cord-like structure traversing the anterior chamber with adhesions to iris tissue along its course. On two antiglaucoma medications, his intraocular pressure (IOP) was 22 mm Hg in the right eye and 18 mm Hg in the left eye. Gonioscopy revealed a cord-like structure originating at the level of Schwalbe′s line. He underwent right eye trabeculectomy with mitomycin-C. This case highlights a rare presentation of a strange cord-like structure, a rare presentation of A-R syndrome.

Keywords

• Lymphoma
• mucosa-associated lymphoid tissue
• radiotherapy
• Boston ocular surface prosthesis
• India
• keratoconus
• scleral contact lens
• Stevens-Johnson syndrome
• Laser in-situ keratomileusis
• post-radial keratotomy laser in-situ keratomileusis
• radial keratotomy
• Cataract
• erythrocytes
• galactose
• glutathione
• lens
• Keratitis
• keratomycosis
• nonpigmented fungi
• outcomes
• pigmented fungi
• Angiotensin-converting enzyme
• antinuclear antibody
• laboratory investigation
• retinal vasculitis
• Anterior segment optical coherence tomogram
• corneal edema
• Descemet′s membrane detachment
• intraocular surgery
• Intravitreal ranibizumab
• Paget′s disease
• subfoveal choroidal neovascular membrane
• Fibrin glue
• lamellar keratoplasty
• Dengue hemorrhagic fever
• pituitary apoplexy
• pituitary tumor hemorrhage
• reversible bilateral vision loss
• Axenfeld-Rieger syndrome
• detached Schwalbe′s line
• posterior embryotoxon
• secondary glaucoma
• trabeculectomy