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Pillai MR, Pabolu C, R R, Chaudhary S, Sr K, Puthuran GV. Adams-Oliver syndrome associated with refractory glaucoma. J AAPOS 2024:103950. [PMID: 38866321 DOI: 10.1016/j.jaapos.2024.103950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Revised: 03/12/2024] [Accepted: 03/12/2024] [Indexed: 06/14/2024]
Abstract
Adams-Oliver syndrome (AOS) is a rare inherited disorder characterized by aplasia cutis congenita, cutis marmorata telangiectatica congenita, and terminal limb defects. Ocular associations have been rarely reported. We report a 6-month-old boy with AOS associated with refractory glaucoma, megalocornea, and anterior polar cataract. To our knowledge, this is the first case of glaucoma to be reported in association with AOS.
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Affiliation(s)
- Manju R Pillai
- Department of Glaucoma services, Aravind Eye Hospital, Madurai, Tamil Nadu, India
| | - Chinmayee Pabolu
- Department of Glaucoma services, Aravind Eye Hospital, Madurai, Tamil Nadu, India
| | - Rajabharani R
- Department of General Ophthalmology, Aravind Eye Hospital, Madurai, Tamil Nadu, India
| | - Sameer Chaudhary
- Department of General Ophthalmology, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
| | - Krishnadas Sr
- Department of Glaucoma services, Aravind Eye Hospital, Madurai, Tamil Nadu, India
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Hokazono K, Urzedo ABDL, Dias PB, Dias NAL. Retinal abnormalities in a patient with cutis marmorata telangiectatica congenita. BMJ Case Rep 2024; 17:e257810. [PMID: 38719246 PMCID: PMC11085976 DOI: 10.1136/bcr-2023-257810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2024] Open
Abstract
Cutis marmorata telangiectatica congenita is a rare congenital vascular malformation characterised by cutaneous vascular abnormalities, typically diagnosed at birth or in the early postnatal period. Although typically benign, this disease is associated with other systemic abnormalities, including rare ocular alterations, such as congenital glaucoma, cataracts and retinopathy.This manuscript describes a female infant, who presented with generalised livedo reticularis, a band of alopecia and cutaneous atrophy in the temporal region above the coronal suture. The patient was diagnosed with cutis marmorata telangiectatica congenita by a paediatrician, and an ophthalmological evaluation was requested. A funduscopy examination in both eyes showed temporal and superior retina with avascular areas with new vessels, venous dilations and shunts, and no retinal detachments. Given these findings, we performed retinal photocoagulation laser treatment with excellent results.This case report highlights the importance of early ophthalmological evaluation of children with this disease to prevent secondary complications, such as vitreous haemorrhage and tractional retinal detachment.
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Affiliation(s)
- Kenzo Hokazono
- Ophthalmology, Federal University of Parana, Curitiba, Brazil
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Downey C, Metry D, Garzon MC, Morales LK, Baselga E. Reply to: "Letter to the Editor regarding Cutis marmorata telangiectatica congenita: Incidence of extracutaneous manifestations and a proposed clinical definition". Pediatr Dermatol 2024; 41:567-568. [PMID: 38743454 DOI: 10.1111/pde.15554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Accepted: 01/22/2024] [Indexed: 05/16/2024]
Affiliation(s)
- Camila Downey
- Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
- Department of Dermatology, Hospital Luis Calvo Mackenna, Facultad de Medicina Universidad de Chile, Santiago, Chile
- Department of Dermatology, Clínica Alemana de Santiago, Santiago, Chile
| | - Denise Metry
- Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA
| | - Maria C Garzon
- Departments of Dermatology and Pediatrics, Vagelos College of Physicians & Surgeons, Columbia University Medical Center, New York, New York, USA
| | - Luz Karem Morales
- Department of Dermatology, Clínica Marly JCG Chía, Cundinamarca, Colombia
| | - Eulalia Baselga
- Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
- Department of Dermatology, Hospital Sant Joan de Deu, Barcelona, Spain
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Dedania V, Blei F. Letter to the Editor regarding "Cutis marmorata telangiectatica congenita: Incidence of extracutaneous manifestations and a proposed clinical definition". Pediatr Dermatol 2024; 41:376. [PMID: 38494785 DOI: 10.1111/pde.15515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 12/16/2023] [Indexed: 03/19/2024]
Affiliation(s)
- Vaidehi Dedania
- Department of Ophthalmology, NYU Langone Medical Center, NYU Grossman School of Medicine, New York, New York, USA
| | - Francine Blei
- Department of Pediatrics/Vascular Anomalies Program, NYU Langone Medical Center, NYU Grossman School of Medicine, New York, New York, USA
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Ramawanshi S, Darkase B, Kharkar V, Khade P. Persistent generalized cutis marmorata telangiectatica congenita with venectasia. Indian Dermatol Online J 2023; 14:268-270. [PMID: 37089861 PMCID: PMC10115345 DOI: 10.4103/idoj.idoj_234_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Revised: 05/31/2022] [Accepted: 06/24/2022] [Indexed: 03/12/2023] Open
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Kim MJ, Kim SJ. Ischemic Proliferative Retinopathy in a Korean Patient with Cutis Marmorata Telangiectatica Congenita: A Case Report. KOREAN JOURNAL OF OPHTHALMOLOGY 2022; 36:570-571. [PMID: 36220634 DOI: 10.3341/kjo.2022.0107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 08/29/2022] [Indexed: 12/14/2022] Open
Affiliation(s)
- Min-Ji Kim
- Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Sang Jin Kim
- Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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Selvan H, Gupta S, Wiggs JL, Gupta V. Juvenile-onset open-angle glaucoma - A clinical and genetic update. Surv Ophthalmol 2022; 67:1099-1117. [PMID: 34536459 PMCID: PMC9192165 DOI: 10.1016/j.survophthal.2021.09.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 09/06/2021] [Accepted: 09/13/2021] [Indexed: 01/03/2023]
Abstract
Juvenile-onset open-angle glaucoma (JOAG) is a subset of primary open-angle glaucoma that is diagnosed before 40 years of age. The disease may be familial or non-familial, with proportions varying among different populations. Myocilin mutations are the most commonly associated. JOAG is characterized by high intraocular pressures (IOP), with many patients needing surgery. The mean age at diagnosis is in the 3rd decade, with a male preponderance. Myopia is a common association. The pathophysiology underlying the disease is immaturity of the conventional outflow pathways, which may or may not be observed on gonioscopy and anterior segment optical coherence tomography. The unique optic nerve head features include large discs with deep, steep cupping associated with high IOP-induced damage. Progression rates among JOAG patients are comparable to adult primary glaucomas, but as the disease affects younger patients, the projected disability from this disease is higher. Early diagnosis, prompt management, and life-long monitoring play an important role in preventing disease progression. Gene-based therapies currently under investigation offer future hope.
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Affiliation(s)
- Harathy Selvan
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Shikha Gupta
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Janey L. Wiggs
- Ocular Genomics Institute, Massachusetts Eye and Ear, Boston, MA, USA,Department of Ophthalmology, Harvard Medical School, MA, USA
| | - Viney Gupta
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India,Corresponding author: Viney Gupta, MD, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029 India. (V. Gupta)
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Retinal manifestations of the neurocutaneous disorders. Curr Opin Ophthalmol 2020; 31:549-562. [PMID: 33009088 DOI: 10.1097/icu.0000000000000712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE OF REVIEW The neurocutaneous disorders are a genetically and phenotypically diverse group of congenital syndromes characterized by cutaneous, ocular, and central nervous system manifestations. This review provides an overview of the clinical features and retinal findings in selected neurocutaneous disorders. RECENT FINDINGS Advances in genetics and diagnostic retinal and neuroimaging allow for the recognition of retinal features of common neurocutaneous syndromes and for improved characterization of rarer entities based on previously underdiagnosed or unrecognized retinal findings. SUMMARY Better characterization of the neurocutaneous disorders allows for earlier recognition and the potential for expeditious vision-saving and life-saving treatment.
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