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Axenfeld Rieger Syndrome

Writer's picture: Munib ur RehmanMunib ur Rehman

It is characterized by anterior segment dysgenesis and systemic abnormalities.

 

INHERITANCE PATTERN

AD

 

FACE AND FACIAL SYMMETRY        

Facial bone defects - Hypertelorism, telecanthus, maxillary hypoplasia, and a broad, flat nasal bridge.

Dental – microdontia, oligodontia or hypodontia.

 

IRIS AND PUPIL

Iris strands adherent to the anteriorly displaced Schwalbe’s line – may be fine thread-like or broad-based.

Iris Hypoplasia/atrophy

Corectopia

polycoria

LENS

Posterior Embryotoxon – Anteriorly displaced Schwalbe’s Line

 

POSTERIOR SEGMENT

Signs of Glaucoma

 

IOP

Glaucoma occurs in about 50 percent of cases. it results from the development arrest of the neural crest cells with their retention in the anterior chamber angle during gestation, resulting in incomplete development of the trabecular meshwork or Schlemm canal.

 

FELLOW EYE

Similar Condition as the disease is bilateral.

 

SYSTEMIC CONDITIONS

Umbilical abnormalities – redundant umbilical skin

Pituitary abnormalities

Hypospadias

Anal stenosis growth retardation

Cardiovascular abnormalities

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