Klippel-trenaunay sendromlu bir olguda glokom ve tedavisi
[ N/A ]
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmada yüz ve boyundan başlayıp neredeyse vücudun tüm sol yarısında uzanmakta olan hemanjiomları ve bu hemajiomlara eşlik eden yumuşak doku hipertrofleri mevcut olan, Klippel-Trenaunay sendromu tanısı almış, 20 yaşında bir erkek hasta ve bu hastaya uygulanan tedavi sunulmuştur. Olgumuzun sol gözünde skleral damarlarda belirginleşme, skleral pigmentasyon, iris renginde koyulaşma ve iris proseslerinde belirginleşme mevcuttu. Öncesinde düzenli bir anti-glokomatöz tedavi almamış olan hastanın, başvuru anındaki sol göz içi basıncı (GİB) 33 mmHg idi. Brimonidine+timolol maleat kombinasyonu içeren (Combigan) damla sonrası 1. ayda GİB'nı 17 mmHg'e düşmüştü. Olgumuzda buftalmus öyküsü olmadığı için glokomun, juvenil başlangıçlı olduğunu tahmin etmekteyiz ve medikal tedavi ile hedeflediğimiz GİB'na ulaşabilmiş olmamızda, bunun önemli bir etken olduğunu düşünüyoruz.
We report a 20-year-old male diagnosed with Klippel-Trenaunay syndrome who had hemangiomas starting from the face and neck and covering almost the entire left side of the body in association with soft tissue hypertrophy, and we present the treatment that we implemented. Increased scleral pigmentation, prominent scleral vessels, increased iris pigmentation, and prominent iris processes were present in the left eye. The patient had not received any antiglaucoma treatment on a regular basis before, and the intraocular pressure (IOP) of the left eye was 33 mmHg on presentation. It decreased to 17 mmHg after 1 month of brimonidine+timolol maleate combination (Combigan) treatment. In our case, we suspected juvenile onset glaucoma since there was no history of buphthalmus and we think that it was an important factor in the satisfactory outcome of medical treatment achieving the target IOP.
We report a 20-year-old male diagnosed with Klippel-Trenaunay syndrome who had hemangiomas starting from the face and neck and covering almost the entire left side of the body in association with soft tissue hypertrophy, and we present the treatment that we implemented. Increased scleral pigmentation, prominent scleral vessels, increased iris pigmentation, and prominent iris processes were present in the left eye. The patient had not received any antiglaucoma treatment on a regular basis before, and the intraocular pressure (IOP) of the left eye was 33 mmHg on presentation. It decreased to 17 mmHg after 1 month of brimonidine+timolol maleate combination (Combigan) treatment. In our case, we suspected juvenile onset glaucoma since there was no history of buphthalmus and we think that it was an important factor in the satisfactory outcome of medical treatment achieving the target IOP.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Glokom Katarakt
WoS Q Değeri
Scopus Q Değeri
Cilt
5
Sayı
4
