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Year : 2021  |  Volume : 59  |  Issue : 2  |  Page : 187-189

Axenfeld's anomaly with ocular hypertension: A case report and review of literature

Glaucoma Services, Aravind Eye Hospital, Puducherry, India

Correspondence Address:
Dr. Kavitha Srinivasan
Glaucoma Services, Aravind Eye Hospital, Cuddalore Main Road, Thavalakuppam, Puducherry - 605 007
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_13_21

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Anterior segment dysgenesis refers to a spectrum of developmental anomalies which occurs due to aberration in the migration and differentiation of the neural crest cells. Here, we describe a young male who was referred for ophthalmic evaluation by a general physician with a white ring at the corneo-scleral junction. He had 6/6 vision but with raised intraocular pressure in both eyes. Slit-lamp evaluation revealed posterior embryotoxon and fundus examination showed no optic nerve damage. Gonioscopy revealed a prominent Schwalbe's line with multiple irido-trabecular adhesions suggestive of Axenfeld anomaly. Patients with Axenfeld anomaly are at increased risk of developing glaucoma in late childhood or early adulthood. Patients with such anomalous findings should be evaluated and followed up for glaucoma.

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