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Advances in
eISSN: 2377-4290

Ophthalmology & Visual System

Clinical Images Volume 13 Issue 3

Axenfeld rieger anomaly: a case report

Farah Benlkadri , El-Mehdi El-Filali, Basma Ouidani, Youssef bennouk, Hussein Ait lhaj, Mohamed Kriet, Fouad Elasri

Military Hospital of Marrakech, Ophthalmology Department, University Cadi Ayad, Morocco

Correspondence: Dr Farah Benlkadri, Military Hospital of Marrakech, Ophthalmology Department, University Cadi Ayad, Marrakech, Morocco

Received: August 17, 2023 | Published: September 1, 2023

Citation: Benlkadri F, El-Filali EM, Ouidani B, et al. Axenfeld rieger anomaly: a case report. Adv Ophthalmol Vis Syst. 2023;13(3):84. DOI: 10.15406/aovs.2023.13.00446

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Clinical image

We report a case of a young adult, who consults for an optical correction. Biomicroscopic examination shows the presence of a bilateral embryotoxon on 360o, which corresponds to a thickening and anterior displacement of the Schwalbe line, in the form of a grey-white line parallel to the limbus (Figure 1).1 We do not note microspherophakia. Gonioscopy shows the presence of a single iridocorneal synechiae (Figure 2).

Figure 1 Photograph of the anterior segment of the right eye showing an embryotoxon on 360◦.

Figure 2 Gonioscopy photograph of the right eye showing iridocorneal synechia.

These ophthalmologic abnormalities are characteristic of an Axenfeld-Rieger abnormality.2 Measurement of intraocular pressure and examination of the fundus do not provide any evidence for glaucomatous involvement.

This irido-trabeculo-dysginia requires a general assessment in search of general systemic abnormalities which integrate it into the syndrome Axenfeld Rieger.3 This anomaly can be complicated by glaucoma in 50 to 60% of cases.4 A regular follow-up, including imperatively a measurement of the intraocular pressure and an examination of the optic nerve at the bottom of the eye, is required.



Conflicts of interest

The author declares that there is no conflicts of interest.


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©2023 Benlkadri, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.