|Year : 2021 | Volume
| Issue : 3 | Page : 444
Ocular findings associated with arthrogryposis multiplex congenita
Elizabeth Sasikala Anilkumar, Kalpana Narendran
Department of Paediatric Ophthalmology and Strabismus Clinic, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India
|Date of Web Publication||02-Jul-2021|
Dr. Elizabeth Sasikala Anilkumar
Paediatric Ophthalmology and Strabismus Clinic, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Avinashi Road, Coimbatore, Tamil Nadu - 641 014
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Anilkumar ES, Narendran K. Ocular findings associated with arthrogryposis multiplex congenita. Indian J Ophthalmol Case Rep 2021;1:444
Arthrogryposis multiplex congenita (AMC) is a birth defect characterized by multiple joint deformities. Ocular abnormalities reported in conjunction with this syndrome are congenital ophthalmoplegia,, progressive bilateral paralysis of lateral recti, progression of ocular motility disorder, delayed maturation of fixation, microphthalmia, hypertelorism, lid abnormalities, optic atrophy, juvenile-onset glaucoma, Mobius syndrome and Duane's syndrome. AMC with ocular manifestation of bilateral Peter's anomaly has been infrequently reported., We describe the systemic manifestations and ocular features such as bilateral ptosis, inferior corneal scar with peripheral anterior synechae (PAS) suggestive of bilateral Peter's anomaly in association with AMC in an 8-year-old boy [Figure 1]a, [Figure 1], [Figure 1]c, [Figure 1]d, [Figure 1]e, [Figure 1]f.
|Figure 1: (a) Clinical photograph showing bilateral inferior corneal opacity & PAS. (b) Clinical photograph showing bilateral partial ptosis (MRD1 + 1 mm) with orthophoria. (c) Clinical photograph describing systemic features of AMC such as bilateral low set ears, webs (pterygium of the neck), poorly defined conchae of ear, winged scapula, and C-type scoliosis –right-sided curved thoracic vertebrae. (d) & (e) RE and LE- Slit-lamp photograph demonstrating PAS indicated by white arrowheads. (f) Clinical photograph showing scar over the knee and ankle joint due to soft tissue release with generalized muscle atrophy|
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