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| CASE REPORT |
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| Year : 1988 | Volume
: 36
| Issue : 1 | Page : 43 |
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Abnormal presentation of Peters' anomaly
Mehul C Mehta, GC Murthy
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
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 3253203 
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 |
| Introduction | |  |
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 | | |
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 | | |
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 | | |
| 1. | J. B. Bateman, I.H. Maumenee, RS. Sparkes: Am J. Ophthalmol 97;11 : 1984.  |
| 2. | W.M. Townsend, RL Front LE. Zimmerman; Am. J. Ophthalmol 77; 192: 1974. |
| 3. | P.R Labison, G.O. Waring Pediatric Ophthalmology, Ed Harley, 2nd. Edition, 1983; Saunders & Co. |
| 4. | RP. Acharya; Ind J. Ophthalmot 30; 65: 1982 |
| 5. | AE. Kolker, J. Hetherington Jr.; -Becker-Schaffer, Diagnosis & Therapy of the Glaucomas, 5th Ed 1983, C. V. Mosby & Co. |
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