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Juvenile Open Angle Glaucoma With Nonbullous Congenital Ichthyosiform Erythroderma

Ichhpujani, Parul, MS*; Thakur, Sahil, MS*; Kumar, Suresh, MS*; Singh, Rohan B., MBBS

doi: 10.1097/IJG.0000000000001016
Online Articles: Case Report/Small Case Series

Introduction: Glaucoma in patients with nonbullous congenital ichthyosiform erythroderma (NBCIE) is a rare entity that has not been described in a histologically confirmed case. We present a unique case of coexisting glaucoma, ichthyosis, and dwarfism that has not been previously described.

Methods: We present a case of NBCIE with glaucoma and dwarfism that presented to our outpatient department. The patient was referred for watering and photophobia that were due to an epithelial defect that was subsequently managed conservatively. Investigations revealed the existence of a constellation of findings that are presented here.

Results: NBCIE, glaucoma, and dwarfism represent a spectrum of diseases that seem to have a syndromic association. More gene linkage–based analysis are, however, needed to further confirm our observations.

Conclusions: NBCIE, glaucoma, and dwarfism can often occur together and need to be assessed and managed individually. Early diagnosis of this spectrum can help improve patient management and quality of life. Dermatologists must get an ocular examination conducted for icthyoses patients.

*Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India

Schepens Eye Research Institute, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA

Disclosure: The authors declare no conflict of interest.

Reprints: Parul Ichhpujani, MS, Department of Ophthalmology, Government Medical College and Hospital, Sector-32, Chandigarh 160030, India (e-mail: parul77@rediffmail.com).

Received May 14, 2018

Accepted June 18, 2018

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