Axenfeld-Rieger Syndrome: Case Report

Amanda Dinalli Francisco, Thiago Sande Miguel, Ana Luiza Mansur Souto, Daniel Almeida da Costa, Maurício Bastos Pereira
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Abstract

Aims:To describe a Axenfeld-Rieger Syndrome. Presentation of Case: MCL, 7 years old, female, brown, was taken to the ophthalmology outpatient clinic of the Hospital Universitário Antônio Pedro, Brazil by her parents, complaining of low visual acuity and malformation of the pupil perceived since birth. Discussion: Axenfeld-Rieger Syndrome is a rare and hereditary disease. Clinically, Axenfeld's anomaly is characterized by the presence of posterior embryotoxon, and there may be adherence of iridian tissue in its periphery. In addition to Rieger's anomaly, posterior embryotoxon is added to iris hypoplasia and iris thickness defects, uveal ectropion and pupillary alterations, such as corectopia. Rieger's syndrome is associated with extraocular changes, of which hypodontia, myicrodontia, maxillary hypoplasia, telecanthus, hypertelorism and hypospadias stand out. Conclusions: Therefore, the importance of early diagnosis, follow-up and adequate treatment becomes evident in order to preserve the visual function of patients and thus avoid an unfavorable evolution.
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Axenfeld-Rieger综合征1例报告
目的:描述一种Axenfeld-Rieger综合征。病例介绍:MCL, 7岁,女,棕色皮肤,由父母带到巴西Pedro医院Universitário Antônio眼科门诊就诊,主诉视力低,出生后瞳孔畸形。讨论:Axenfeld-Rieger综合征是一种罕见的遗传性疾病。临床上,Axenfeld异常的特征是存在后胚胎毒瘤,其周围可能有虹膜组织粘附。除Rieger异常外,虹膜发育不全、虹膜厚度缺损、葡萄膜外翻、瞳孔改变、矫正异位症等也可发生后胚胎瘤。Rieger’s综合征与眼外病变有关,其中突出表现为牙下畸形、牙微畸形、上颌发育不全、远端畸形、远端肥大和尿道下裂。结论:早期诊断、随访和适当治疗对于保护患者的视觉功能,避免不良的发展具有重要意义。
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