Document Detail


Histopathological study of a case with glaucoma due to Sturge-Weber syndrome.
MedLine Citation:
PMID:  12738548     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To investigate the cause of the secondary glaucoma in a case of Sturge-Weber syndrome by histopathology. CASE: A 10-year-old boy with Sturge-Weber syndrome and glaucoma in the right eye was studied. Trabeculectomy was performed because of uncontrolled intraocular pressure, and the trabeculectomy specimen was examined histologically by both light and electron microscopy. RESULTS: Histological examination of the trabeculectomy specimen showed that the ciliary muscle was dislocated anteriorly, and the Schlemm canal was not present. The spaces in the juxtacanalicular connective tissue (JCT) were replaced by vascular structures and connective tissue. There were two kinds of vascular structures: in one, the endothelium was surrounded by pericytes; and in the other, the endothelium was not surrounded by pericytes. CONCLUSIONS: Developmental abnormalities of the Schlemm canal and the JCT may have caused the glaucoma. These observations suggest that the developmental abnormalities of both the mesoderm and the neural crest might be involved in the pathogenesis of the glaucoma in cases of Sturge-Weber syndrome.
Authors:
Noriko Akabane; Teruhiko Hamanaka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese journal of ophthalmology     Volume:  47     ISSN:  0021-5155     ISO Abbreviation:  Jpn. J. Ophthalmol.     Publication Date:    2003 Mar-Apr
Date Detail:
Created Date:  2003-05-09     Completed Date:  2003-06-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0044652     Medline TA:  Jpn J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  151-7     Citation Subset:  IM    
Affiliation:
Second Department of Ophthalmology, Toho University School of Medicine, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Anterior Chamber / pathology
Anterior Eye Segment / abnormalities,  pathology
Child
Connective Tissue / pathology
Eye Abnormalities / diagnosis
Glaucoma / etiology,  pathology*,  surgery
Humans
Intraocular Pressure
Male
Sturge-Weber Syndrome / complications,  pathology*
Trabecular Meshwork / pathology
Trabeculectomy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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