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Clinical Images Volume 13 Issue 3
Axenfeld rieger anomaly: a case report
Farah Benlkadri ,
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El-Mehdi El-Filali, Basma Ouidani, Youssef bennouk, Hussein Ait lhaj, Mohamed Kriet, Fouad Elasri
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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
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.
Acknowledgments
None.
Conflicts of interest
The author declares that there is no conflicts of interest.
References
- Edgar A, Baby Salini. Axenfeld-rieger syndrome. StatPearls. 2022.
- Dureau P. Congenital glaucoma and trabeculodysgenesis clinical and genetic aspects. J Fr Ophtalmol. 2006;29(2):198–215.
- Seifi M, Walter MA. Axenfeld-rieger syndrome. Clin Genet. 2018;93(6):1123–1130.
- Mandal AK, Pehere N. Early-onset glaucoma in axenfeld-Rieger anomaly: long-term surgical results and visual outcome. Eye. 2016;30(7):936–42.
©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.
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