Juvenile onset of ocular hypertension associated with de novo nail-patellar syndrome.

J Glaucoma

*Department of Ophthalmology, The University of Tokyo †Yotsuya Shirato Eye Clinic ‡Department of Ophthalmology, Kanto Central Hospital, Tokyo, Japan.

Published: February 2014

Purpose: To report a rare case of juvenile-onset ocular hypertension (OHT) associated with nail-patellar syndrome (NPS).

Method: Clinical data of the patient were reviewed retrospectively.

Results: A 29-year-old woman was referred due to uncontrollable OHT. The OHT was found to be associated with NPS, a disorder characterized by anomalies of nails and skeletal bones. The patient had a history of high recorded intraocular pressure (IOP), beginning when she was 13 years old. Trabeculotomy was performed in both eyes due to uncontrollable high IOP. Postoperatively, the IOP has been well controlled without deterioration of optic disc appearance or visual field defects.

Conclusion: When evaluating patients presenting with juvenile-onset OHT, clinicians should be aware of NPS as a differential diagnosis.

Download full-text PDF

Source
http://dx.doi.org/10.1097/IJG.0b013e3182953b08DOI Listing

Publication Analysis

Top Keywords

ocular hypertension
8
nail-patellar syndrome
8
oht associated
8
juvenile onset
4
onset ocular
4
hypertension associated
4
associated novo
4
novo nail-patellar
4
syndrome purpose
4
purpose report
4

Similar Publications

Background: COVID-19 caused a huge backlog of patients in glaucoma clinics. This study describes redesign of an entire glaucoma service with electronic patient triage to three levels and utilisation of the Scottish optometry infrastructure of upskilled optometrists.

Methods: 2276 patients in glaucoma clinics were identified and triaged to three levels in keeping with Glauc-strat-fast guidance with local amendments.

View Article and Find Full Text PDF

Economic impact of initial glaucoma treatment with selective laser trabeculoplasty on the Brazilian Public Health System.

Arq Bras Oftalmol

January 2025

Discipline of Health Management and Economics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Purpose: To evaluate the economic impact of the following initial treatment scenarios for glaucoma on the Brazilian Public Health System (SUS): (1) traditional continuous instillation of hypotensive eye drops and (2) single session of selective laser trabeculoplasty.

Methods: Economic impact was analyzed in three scenarios, from the least to the most conservative, for a hypothetical cohort of 5,000 individuals with open-angle glaucoma. Thereafter, projections were made on the basis of a glaucoma prevalence of 3% in the 2021 Brazilian population size.

View Article and Find Full Text PDF

Background: While expert optometrists tend to rely on a deep understanding of the disease and intuitive pattern recognition, those with less experience may depend more on extensive data, comparisons, and external guidance. Understanding these variations is important for developing artificial intelligence (AI) systems that can effectively support optometrists with varying degrees of experience and minimize decision inconsistencies.

Objective: The main objective of this study is to identify and analyze the variations in diagnostic decision-making approaches between novice and expert optometrists.

View Article and Find Full Text PDF

Glaucoma poses a growing health challenge projected to escalate in the coming decades. However, current automated diagnostic approaches on Glaucoma diagnosis solely rely on black-box deep learning models, lacking explainability and trustworthiness. To address the issue, this study uses optical coherence tomography (OCT) images to develop an explainable artificial intelligence (XAI) tool for diagnosing and staging glaucoma, with a focus on its clinical applicability.

View Article and Find Full Text PDF

Background: To compare structural and vascular parameters between advanced pseudoexfoliation glaucoma (PXG) and primary open-angle glaucoma (POAG).

Methods: One hundred and six eyes of 81 patients were enrolled in this cross-sectional study. All patients underwent complete ophthalmic examination and measurement of the thickness of the peripapillary retinal nerve fiber layer (RNFL) and ganglion cell complex (GCC).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!