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A case of presumed brittle cornea syndrome Yoko Ishii 1 , Hideto Yatsuka 1 , Kazuo Nakatsuka 1 , Fusako Munakata 2 1Dept of Ophthalmol, Oita Med Univ 2Takada Central Hosp pp.613-616
Published Date 1999/4/15
DOI https://doi.org/10.11477/mf.1410906292
  • Abstract
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A 38-year-old male presented with raised intraocular pressure (I0P) in his right eye. His corrected visual acuity was hand motion right and no light perception left. By Goldmann tonometry, his IOP was 29 mmHg right and 32 mmHg left. The corneal diameter was 11.5 mm in either eye. The central corneal thickness was 0.3 mm. Spherocornea was present in both eyes. Blue sclera was absent. The axial length was 40 mm in either eye. Systemically, he had hyperextensive joints, tendency of the teeth to fall off, and bilateral hearing loss in the high frequency range. We diagnosed him as brittle cornea syndrome. The right eye was treated by trabeculectomy. After discontinuation of oral acetazolamide, the left eye developed severe pain. It appeared that applanation tonometry gave artifically lower TOP value than the actual value.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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