Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 4421
  • Home
  • Print this page
  • Email this page

   Table of Contents      
CASE REPORT
Year : 1988  |  Volume : 36  |  Issue : 1  |  Page : 43

Abnormal presentation of Peters' anomaly


D/4 Sea Face Park 50, B. Desai Road,Mumbai-400 026, India

Correspondence Address:
Mehul C Mehta
D/4 Sea Face Park 50, B. Desai Road,Mumbai-400 026
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 3253203

Rights and PermissionsRights and Permissions
  Abstract 

A case of Peters' Anomaly with iridocyelitis was examined The eye had all the features of Perters' Anomaly with signs of cbornic iridocyclitis. The combination of these findings has not been reported in literature to our know­ledge, making this case a unique one.

Keywords: Posterior Corneal Defects; Adherent Iris Strands; Cataract; Chronic Iridocyclitis


How to cite this article:
Mehta MC, Murthy G C. Abnormal presentation of Peters' anomaly. Indian J Ophthalmol 1988;36:43

How to cite this URL:
Mehta MC, Murthy G C. Abnormal presentation of Peters' anomaly. Indian J Ophthalmol [serial online] 1988 [cited 2020 Apr 5];36:43. Available from: http://www.ijo.in/text.asp?1988/36/1/43/26161


  Introduction Top


Peters' Anomaly is a congenital condition characterised by iridocorneal contact glaucoma and corneal opacities, usually in the absence of systemic anomalies (1). The condition usually results in visual loss in the affected eye.


  Case Report Top


A 35 year old male patient presented with repeated attacks of pain, redness and watering in his right eye. On inquiry, it was established that he had suffered from poor vision in his right eye since childhood. These repeated attacks of ocular pain commenced four years ago. No form of therapy was ever instituted.

Biomicroscopic examination of the right eye revealed multiple stromal corneal opacities. These were dense and leucomatous in nature, with fine variegated iris strands extending from the iris collarette to the opacities. Endothelial examination revealed the presence of fine keratic precipitates The iris was atrophic and an exuda­tive membrane with posterior synechiae occluded the pupillary area The lens was cataractous and shrunken and subluxated anteriorly. The intraocular tension as measured by applanation tonometry was 10 mm Hg Gonioscopic examination of the angle revealed meso­dermal tissue over 3/4 of the angle circumference. There was no visual perception in that eye. A diagnosis of Peters anomaly in the right eye was made. The left eye was normal with a corrected visual acuity of 6/6. Systemic examination and various laboratory parame­ters were normal


  Discussion Top


Peters' Anomaly occurs with various ophthalmological findings, mainly iridolenticular contact keratolenticular contact cataracts, glaucoma and variations in the global volume (1) a variant of Peters' Anomaly has been described involving the lens in a variety of forms (2). This has been termes as Peters' Anomaly with Corneo­lenticular contact or Cataract (3) These features are similar to the ones observed in this case. The uncommon features were the findings of chronic iridocyclitis low intraocular tension and visual loss. Such features follo­wing various diseases known to excite iridocyclitis like leprosy, tuberculosis etc have been commonly reported (4). The combination of these findings with Peters' Anomaly has not been reported in literature to our knowledge. Peters' anomaly has however been associa­ted with glaucoma (5). This case may have had glau­coma initially, with recurrent attacks of iridocyclitis. These complications which persisted for four years could have caused ciliary body atrophy, with the result­ant low intraocular tension. We presume there there may be a direct association between Peters' Anomaly and chomic iridocyclitis in the same eye, making it an interesting clinical entity[5].

 
  References Top

1.
J. B. Bateman, I.H. Maumenee, RS. Sparkes: Am J. Ophthalmol 97;11 : 1984.  Back to cited text no. 1
    
2.
W.M. Townsend, RL Front LE. Zimmerman; Am. J. Ophthalmol 77; 192: 1974.  Back to cited text no. 2
    
3.
P.R Labison, G.O. Waring Pediatric Ophthalmology, Ed Harley, 2nd. Edition, 1983; Saunders & Co.   Back to cited text no. 3
    
4.
RP. Acharya; Ind J. Ophthalmot 30; 65: 1982   Back to cited text no. 4
    
5.
AE. Kolker, J. Hetherington Jr.; -Becker-Schaffer, Diagnosis & Therapy of the Glaucomas, 5th Ed 1983, C. V. Mosby & Co.  Back to cited text no. 5
    




 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
Abstract
Introduction
Case Report
Discussion
References

 Article Access Statistics
    Viewed2204    
    Printed58    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal