Open AccessAqueous Misdirection After Trabeculectomy in a Down Syndrome Patient With Angle-closure Glaucoma
Author(s) -
Austin Fox,
Wallace L.M. Alward,
John H. Fingert
Publication year - 2021
Publication title -
journal of glaucoma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.11
H-Index - 88
eISSN - 1536-481X
pISSN - 1057-0829
DOI - 10.1097/ijg.0000000000001831
Subject(s) - trabeculectomy , medicine , glaucoma , keratoconus , down syndrome , ophthalmology , trisomy , surgery , cornea , genetics , psychiatry , biology
Down syndrome is a genetic disease caused by trisomy of chromosome 21 that is characterized by numerous systemic abnormalities including intellectual disability, stereotypical facies, and congenital heart malformations. Ocular abnormalities are commonly seen with Down syndrome including corneal disease (keratoconus), refractive error, and atypical irides (Brushfield spots). We report the first case of aqueous misdirection in a patient with Down syndrome after trabeculectomy. Patients with Down syndrome often have small, hyperopic eyes with narrow iridocorneal angles and may be at increased risk for aqueous misdirection associated with surgical procedures. Awareness of this risk may aid surgical planning and postoperative management.