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This abstract is assigned to session BOG-SBO 6 Glaucoma / Glaucome
TitleBuphthalmos: a masquerade syndrome
Abstract Nr.A2053
ResultsA 10 month old girl was referred to our glaucoma department with the tentative diagnosis of unilateral buphthalmos. The parents had noticed photophobia, epiphora and an opaque cornea on the left side since one month. An intra-ocular pressure of 50mmHg had been measured in that eye under sedation by the consulted ophthalmologist. On clinical examination, there was an opaque megalocornea with esodeviation on the left. The right eye appeared normal. Because of the photophobia and the opaque cornea, fundoscopy was not possible without sedation. The working diagnosis remained left buphthalmos and a trabeculotomy was planned.
Examination under general anesthesia revealed corneal oedema, a shallow anterior chamber with an atrophic iris and engorged iris vessels on the left side. Since a shallow anterior chamber is not a typical feature of buphthalmos, an expansive process in the posterior segment was suspected. Fundoscopy only revealed a red reflex in the upper part of the eye; details could not be visualized because of corneal edema. The right eye had a normal anterior and posterior segment.
Ultrasonography revealed a large mass in the left vitreous space. Calcifications within this mass were suspected on the bases of retro-shadows, making the diagnosis of retinoblastoma very likely. CT was also consistent with this diagnosis. The left eye was enucleated and subjected to histopathological analyses. The pathological findings will be discussed.
This case report illustrates that buphthalmos can be the presenting sign of an intra-ocular tumor.
Author 1
Last nameSTALMANS
InitialsI
DepartmentUZ
CityLeuven
Author 2
Last nameCASTEELS
InitialsI
DepartmentUZ
CityLeuven
Author 3
Last nameZEYEN
InitialsT
DepartmentUZ
CityLeuven
Author 4
Last nameVAN GINDERDEUREN
InitialsR
DepartmentUZ
CityLeuven
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