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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 300

Bird's view of the human eye


Glaucoma Services, Dr. Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Shayana Bhumbla
Glaucoma Services, Dr. Shroff's Charity Eye Hospital, Daryaganj, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1783_21

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How to cite this article:
Pegu J, Bhumbla S, Arora S, Mukherjee S. Bird's view of the human eye. Indian J Ophthalmol Case Rep 2022;2:300

How to cite this URL:
Pegu J, Bhumbla S, Arora S, Mukherjee S. Bird's view of the human eye. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 19];2:300. Available from: https://www.ijoreports.in/text.asp?2022/2/1/300/334908



This unique picture is of a 10-year-old male child highlighting the varied presentation of Axenfeld Rieger's syndrome. The pupil in the left eye (LE) was slit-like, diagonal, and reacting briskly to light [Figure 1]a. This was due to the iris strand's attachment to the anteriorly displaced Schwalbe's line[1] at 4- and 10-o clock [Figure 1]b. The right eye (RE) had a normal anterior segment with high iris insertion. Vision was 6/12 (−20 DS) in RE and 6/9 (−19 D) in LE. The child also had hypo- and microdontia, maxillary hypoplasia, and redundant umbilical skin.[2] IOP should be regularly monitored in these eyes due to presence of angle dysgenesis.[3]
Figure 1: Anterior segment photographs of a 10 year old child of Axenfeld-Rieger syndrome. (a) - Diagonal, slit-like pupil. (b) - Gonioscopy showing iris strands attached to anteriorly displaced Schwalbe's line

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Shields MB, Buckley E, Klintworth GK, Thresher R. Axenfeld-Rieger syndrome. A spectrum of developmental disorders. Surv Ophthalmol 1985;29:387-409.  Back to cited text no. 1
    
2.
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. 2
    
3.
Mandal AK, Pehere N. Early-onset glaucoma in Axenfeld-Rieger anomaly: Long-term surgical results and visual outcome. Eye (Lond) 2016;30:936-42.  Back to cited text no. 3
    


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