Late-onset pediatric glaucoma associated with cutis marmorata telangiectatica congenita managed with Molteno implant surgery: case report and review of the literature.
Cutis marmorata telangiectatica congenita (CMTC) is characterized by the appearance of telangiectasia, phlebectasia, and a persistent reticular pattern of subcutaneous vasculature at or soon after birth. Up to 90% of cases are associated with systemic abnormalities, which include body asymmetry, cutaneous atrophy, neurological abnormalities, and vascular anomalies (nevus flammeus, Sturge-Weber syndrome, Klippel-Trenaunay syndrome, and capillary and cavernous hemangiomas). Glaucoma is the most commonly reported ocular association of CMTC, usually presenting in infancy. We report a case of CMTC associated with the previously unreported onset of glaucoma in mid-childhood that was managed by glaucoma drainage implant surgery and review the literature on glaucoma associated with this condition.
Murphy
Conor C
CC
Department of Ophthalmology, Royal Perth Hospital, Perth, Australia. conorcmurphy@hotmail.com
Khong
C H
CH
Ward
William J
WJ
Morgan
William H
WH
D002648:Child; D003937:Diagnosis, Differential; D018463:Filtering Surgery / Q000295:instrumentation*; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D018465:Molteno Implants; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications*; D013997:Time Factors; D014057:Tomography, X-Ray Computed