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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 170

Garland sign – An uncommon presentation of Axenfeld anomaly


1 MN Eye Hospital, Chennai, Tamil Nadu, India
2 Sundar Eye Hospital, Chennai, Tamil Nadu, India

Date of Web Publication01-Apr-2021

Correspondence Address:
Dr. Pratheeba Devi Nivean
MN Eye Hospital, 781 T H Road, Chennai - 600 021, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_3435_20

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How to cite this article:
Nivean PD, Dorairajan R, Ramesh V. Garland sign – An uncommon presentation of Axenfeld anomaly. Indian J Ophthalmol Case Rep 2021;1:170

How to cite this URL:
Nivean PD, Dorairajan R, Ramesh V. Garland sign – An uncommon presentation of Axenfeld anomaly. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Apr 14];1:170. Available from: https://www.ijoreports.in/text.asp?2021/1/2/170/312411



 Axenfeld anomaly More Details is a condition with an anteriorly displaced and prominent Schwalbe line “(posterior embryotoxon)” [Figure 1]. When this presents along with systemic abnormalities such as dental, cardiac, craniofacial, and abdominal wall defects, we call it as Axenfeld Reiger Syndrome.[1] Here we present a high myopic patient with a detached Posterior Embryotoxon (360°) in both eyes. This condition is called as the “garland sign'. They are more prone to develop Glaucoma in their adulthood. We present this case due to its rare presentation and to emphasize the fact that patients with Posterior Embryotoxon, have 50% chance to develop glaucoma.[2]
Figure 1: (a and b) External photograph of both eyes showing the posterior embryotoxon (garland sign; arrow). (c) Magnified view of posterior embryotoxon

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  References Top

1.
Rao A, Padhy D, Sarangi S, Das G. Unclassified axenfeld-rieger syndrome: A case series and review of literature. Semin Ophthalmol 2018;33:300-7.  Back to cited text no. 1
    
2.
Medina-Trillo C, Aroca-Aguilar JD, Ferre-Fernández JJ, Alexandre-Moreno S, Morales L, Méndez-Hernández CD, et al. Role of FOXC2 and PITX2 rare variants associated with mild functional alterations as modifier factors in congenital glaucoma. PLoS One 2019;14:e0211029.  Back to cited text no. 2
    


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