Korean J Ophthalmol.  2017 Oct;31(5):462-463. 10.3341/kjo.2017.0042.

Acute Angle Closure Glaucoma in a Patient with Pseudoxanthoma Elasticum

Affiliations
  • 1Department of Ophthalmology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea. eyedr@dsmc.or.kr

Abstract

No abstract available.


MeSH Terms

Glaucoma, Angle-Closure*
Humans
Pseudoxanthoma Elasticum*

Figure

  • Fig. 1 (A) Photograph of the patient's neck showing multiple, yellowish, f lat papules. (B,C) Biopsy of a skin lesion showing short, curled elastic fibers with basophilic calcification of the reticular dermis which are characteristics of pseudoxanthoma elasticum. Hematoxylin-eosin stain, ×40 original magnification (B), ×200 original magnification (C). (D,E) Fundus photographs (D: right, E: left) showing bilateral angioid streaks, which are narrow and irregular lines emanating from the optic disc. (F,G) Optical coherence tomographic images (F: right, G: left) showing pigment epithelial detachment and breaks in Bruch's membrane at the sites of angioid streaks. (H,I) Photographs during cataract surgery. (H) Iris retractors are placed at the capsulorrhexis edge (arrowheads) to support the area with zonular weakness. (I) A capsular tension ring (arrow) is inserted before intraocular lens implantation to stabilize the capsular bag.


Reference

1. Hosen MJ, Lamoen A, De Paepe A, Vanakker OM. Histopathology of pseudoxanthoma elasticum and related disorders: histological hallmarks and diagnostic clues. Scientifica (Cairo). 2012; 2012:598262.
2. Araujo JR, Silva SE, Cruz F, Falcao-Reis F. Acute transient myopia with shallowing of the anterior chamber induced by sulfamethoxazole in a patient with pseudoxanthoma elasticum. J Glaucoma. 2014; 23:415–417.
3. Le Saux O, Martin L, Aherrahrou Z, et al. The molecular and physiological roles of ABCC6: more than meets the eye. Front Genet. 2012; 3:289.
4. Marconi B, Bobyr I, Campanati A, et al. Pseudoxanthoma elasticum and skin: clinical manifestations, histopathology, pathomechanism, perspectives of treatment. Intractable Rare Dis Res. 2015; 4:113–122.
5. Mir S, Wheatley HM, Hussels IE, et al. A comparative histologic study of the fibrillin microfibrillar system in the lens capsule of normal subjects and subjects with Marfan syndrome. Invest Ophthalmol Vis Sci. 1998; 39:84–93.
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