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Outcome of anterior-segment surgery in Rieger's anomaly.
Ger J Ophthalmol. 1996 Nov; 5(6):439-42.GJ

Abstract

Rieger's anomaly is characterized by a dysgenesis of the anterior ocular segment with peripheral iris strands, an abnormally prominent Schwalbe's line, and a stromal atrophy of the iris. Refractory secondary glaucoma frequently demands surgical intervention with an uncertain prognosis. The charts of 15 patients with Rieger's anomaly (11 male, 4 female; mean age 21 years) were reviewed with regard to surgical management and postoperative intraocular pressure (IOP). Micro-/sclerocornea, keratoglobus, and keratopathy, micro-/buphthalmia, glaucoma, cataract, spherophakia, retinal detachment, papillary drusen, strabismus, and amblyopia were found associated with Rieger's anomaly. Secondary glaucoma required glaucoma surgery in 12 patients. Trabeculectomy (with or without mitomycin) and cyclodestructive surgery (cyclocryotherapy or cyclophotocoagulation) yielded IOP regulation in 50% of the treated eyes at a follow-up of 1 year. Cyclodestructive interventions displayed a very limited prognosis in eyes with preoperative maximal IOP values of > 45 mmHg. An obvious decline in visual acuity was observed in all patients, depending on the duration of glaucoma.

Authors+Show Affiliations

Department of Ophthalmology, University of Cologne, Germany.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9479533

Citation

Dietlein, T S., et al. "Outcome of Anterior-segment Surgery in Rieger's Anomaly." German Journal of Ophthalmology, vol. 5, no. 6, 1996, pp. 439-42.
Dietlein TS, Jacobi PC, Krieglstein GK. Outcome of anterior-segment surgery in Rieger's anomaly. Ger J Ophthalmol. 1996;5(6):439-42.
Dietlein, T. S., Jacobi, P. C., & Krieglstein, G. K. (1996). Outcome of anterior-segment surgery in Rieger's anomaly. German Journal of Ophthalmology, 5(6), 439-42.
Dietlein TS, Jacobi PC, Krieglstein GK. Outcome of Anterior-segment Surgery in Rieger's Anomaly. Ger J Ophthalmol. 1996;5(6):439-42. PubMed PMID: 9479533.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of anterior-segment surgery in Rieger's anomaly. AU - Dietlein,T S, AU - Jacobi,P C, AU - Krieglstein,G K, PY - 1996/11/1/pubmed PY - 1998/2/28/medline PY - 1996/11/1/entrez SP - 439 EP - 42 JF - German journal of ophthalmology JO - Ger J Ophthalmol VL - 5 IS - 6 N2 - Rieger's anomaly is characterized by a dysgenesis of the anterior ocular segment with peripheral iris strands, an abnormally prominent Schwalbe's line, and a stromal atrophy of the iris. Refractory secondary glaucoma frequently demands surgical intervention with an uncertain prognosis. The charts of 15 patients with Rieger's anomaly (11 male, 4 female; mean age 21 years) were reviewed with regard to surgical management and postoperative intraocular pressure (IOP). Micro-/sclerocornea, keratoglobus, and keratopathy, micro-/buphthalmia, glaucoma, cataract, spherophakia, retinal detachment, papillary drusen, strabismus, and amblyopia were found associated with Rieger's anomaly. Secondary glaucoma required glaucoma surgery in 12 patients. Trabeculectomy (with or without mitomycin) and cyclodestructive surgery (cyclocryotherapy or cyclophotocoagulation) yielded IOP regulation in 50% of the treated eyes at a follow-up of 1 year. Cyclodestructive interventions displayed a very limited prognosis in eyes with preoperative maximal IOP values of > 45 mmHg. An obvious decline in visual acuity was observed in all patients, depending on the duration of glaucoma. SN - 0941-2921 UR - https://www.unboundmedicine.com/medline/citation/9479533/Outcome_of_anterior_segment_surgery_in_Rieger's_anomaly_ L2 - https://medlineplus.gov/glaucoma.html DB - PRIME DP - Unbound Medicine ER -