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J Glaucoma ; 28(7): e124-e125, 2019 07.
Article in English | MEDLINE | ID: mdl-30994485

ABSTRACT

BACKGROUND: Phacomatosis pigmentovascularis (PPV) has previously almost exclusively been reported in Asians and in dermatological journals. In this report, we present a case of a young black South African adolescent boy referred to our eye clinic. CASE REPORT: A 15-year-old male patient presented with gradual, painless loss of vision in his right eye. Clinical examination revealed a port-wine stain with ocular involvement on the right as well as a nevus of Ota. Fundoscopy on the right revealed an advanced glaucomatous optic disc and raised intraocular pressure. A diagnosis of glaucoma associated with PPV was made. CONCLUSION: We present the first case of PPV in an African male individual with associated glaucoma seen at our tertiary hospital.


Subject(s)
Glaucoma, Open-Angle/etiology , Neurocutaneous Syndromes/complications , Adolescent , Antihypertensive Agents/therapeutic use , Black People/ethnology , Glaucoma, Open-Angle/diagnosis , Glaucoma, Open-Angle/drug therapy , Gonioscopy , Humans , Intraocular Pressure/physiology , Male , Nerve Fibers/pathology , Neurocutaneous Syndromes/ethnology , Nevus of Ota/diagnosis , Optic Disk/pathology , Port-Wine Stain/diagnosis , Retinal Ganglion Cells/pathology , South Africa/epidemiology , Timolol/therapeutic use , Tomography, Optical Coherence , Ultrasonography
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