Congenital unilateral ectropion uveae with refractory glaucoma

• Author Details:   
• Kamala S
• Rashmi N R ^*

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An eight year old healthy female child was referred for the management of raised intraocular pressure (IOP) in left eye. Examination of left eye revealed 360⁰ ectropion uveae, trabecular dysgenesis and glaucomatous disc. A diagnosis of congenital ectropion uveae with glaucoma was made. As IOP became refractory to maximal topical therapy, trabeculectomy with adjunctive Mitomycin-C had to be performed. The IOP normalized after surgery and is well maintained without any anti glaucoma medication. Early recognition of this rare anomaly and close monitoring of IOP is very crucial. Refractive nature of raised IOP needs to be promptly addressed at the earliest with trabeculectomy.

Keywords: Congenital glaucoma, Ectropion uveae, Mitomycin-C, Trabecular dysgenesis, Trabeculectomy.