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Juvenile Onset of Ocular Hypertension Associated With De Novo Nail-Patellar Syndrome

Sawamura, Hiromasa MD, PhD*; Aihara, Makoto MD, PhD*,†; Araie, Makoto MD, PhD*,‡

doi: 10.1097/IJG.0b013e3182953b08
Online Articles: Case Reports

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.

*Department of Ophthalmology, The University of Tokyo

Yotsuya Shirato Eye Clinic

Department of Ophthalmology, Kanto Central Hospital, Tokyo, Japan

Disclosure: The authors declare no conflict of interest.

Reprints: Hiromasa Sawamura, MD, PhD, Department of Ophthalmology, The University of Tokyo, Bunkyo-ku, Tokyo 113-8655, Japan (e-mail:

Received November 13, 2012

Accepted January 7, 2013

© 2014 by Lippincott Williams & Wilkins.