Bilateral prominent schwalbe ring in the anterior chamber in a patient with axenfeld-rieger syndrome and megalocornea.
OBJECTIVE
To report the unusual presentation of bilateral Schwalbe rings suspended in the anterior chambers of a patient with Axenfeld-Rieger syndrome.


METHODS
A 37-year-old man with bilateral decreasing visual acuity underwent slit-lamp examination, dark room gonioscopy, and photographic documentation.


RESULTS
Prominent bilateral Schwalbe rings and peripheral iridocorneal strands were observed in both anterior chambers. No systemic abnormalities were found.


CONCLUSIONS
The position of the Schwalbe ring in patients with Axenfeld-Rieger syndrome can vary in appearance from almost normal to displaced markedly. It remains to be seen whether these variations reflect genetic differences.
Espana
Edgar M
EM
Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, NY 10003, USA. eespana@med.miami.edu
Mora
Ricardo
R
Liebmann
Jeffrey
J
Ritch
Robert
R
D000015:Abnormalities, Multiple / Q000175:diagnosis*; D000328:Adult; D000867:Anterior Chamber / Q000002:abnormalities*; D003315:Cornea / Q000002:abnormalities*; D005124:Eye Abnormalities / Q000175:diagnosis*; D005901:Glaucoma / Q000175:diagnosis*; D006068:Gonioscopy; D006801:Humans; D007498:Iris / Q000002:abnormalities*; D008297:Male; D013577:Syndrome; D014792:Visual Acuity