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   Table of Contents      
LETTER TO THE EDITOR
Year : 2018  |  Volume : 66  |  Issue : 4  |  Page : 605-606

Response to comment on: Bilateral idiopathic spontaneous filtering bleb with ectopia lentis: A case report and review of literature


Department of Glaucoma, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India

Date of Web Publication26-Mar-2018

Correspondence Address:
Dr. Premanand Chandran
Avinashi Road, Coimbatore- 641 014, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_249_18

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How to cite this article:
Chandran P, Khairnar AS, Aboobacker N, Raman GV. Response to comment on: Bilateral idiopathic spontaneous filtering bleb with ectopia lentis: A case report and review of literature. Indian J Ophthalmol 2018;66:605-6

How to cite this URL:
Chandran P, Khairnar AS, Aboobacker N, Raman GV. Response to comment on: Bilateral idiopathic spontaneous filtering bleb with ectopia lentis: A case report and review of literature. Indian J Ophthalmol [serial online] 2018 [cited 2019 Nov 23];66:605-6. Available from: http://www.ijo.in/text.asp?2018/66/4/605/228473



Dear Sir,

We thank for the interest shown in our article and for sharing the details of your patient with similar clinical picture.[1],[2] We agree that the facial dysmorphic features are subtle in Traboulsi syndrome or facial dysmorphism, lens dislocation, anterior-segment abnormalities, and spontaneous filtering blebs, which is due to mutation in aspartyl/asparaginyl β-hydroxylase.[3] We compared our patient's facial features [Figure 1]a and [Figure 1]b with the pictures of patients diagnosed with Traboulsi syndrome,[4],[5],[6] and our patient's facial feature is not as typical as the ones mentioned in the literature. Taking the entire clinical picture into account, he may be a patient with Traboulsi syndrome but needs genetic testing to confirm the diagnosis.
Figure 1: Profile picture of the patient, front (a) and side (b) view

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Senthil S. Comment on: Bilateral idiopathic spontaneous filtering bleb with ectopia lentis: A case report and review of literature. Indian J Ophthalmol 2018;66:604-5.  Back to cited text no. 1
  [Full text]  
2.
Chandran P, Khairnar AS, Aboobacker N, Raman GV. Bilateral idiopathic spontaneous filtering bleb with ectopia lentis: A case report and review of literature. Indian J Ophthalmol 2018;66:134-6.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Patel N, Khan AO, Mansour A, Mohamed JY, Al-Assiri A, Haddad R, et al. Mutations in ASPH cause facial dysmorphism, lens dislocation, anterior-segment abnormalities, and spontaneous filtering blebs, or Traboulsi syndrome. Am J Hum Genet 2014;94:755-9.  Back to cited text no. 3
[PUBMED]    
4.
Shawaf S, Noureddin B, Khouri A, Traboulsi EI. A family with a syndrome of ectopia lentis, spontaneous filtering blebs, and craniofacial dysmorphism. Ophthalmic Genet 1995;16:163-9.  Back to cited text no. 4
[PUBMED]    
5.
Haddad R, Uwaydat S, Dakroub R, Traboulsi EI. Confirmation of the autosomal recessive syndrome of ectopia lentis and distinctive craniofacial appearance. Am J Med Genet 2001;99:185-9.  Back to cited text no. 5
[PUBMED]    
6.
Mansour AM, Younis MH, Dakroub RH. Anterior segment imaging and treatment of a case with syndrome of ectopia lentis, spontaneous filtering blebs, and craniofacial dysmorphism. Case Rep Ophthalmol 2013;4:84-90.  Back to cited text no. 6
[PUBMED]    


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