Axenfeld Rieger Syndrome – Challenges and Triumphs-The Best Poster Award AICO 2024 скачать в хорошем качестве

Axenfeld Rieger Syndrome – Challenges and Triumphs-The Best Poster Award AICO 2024

#VirtualOphthalmologyAcademy #vopha The Best Poster Award Islamabad Congress of Ophthalmology AICO 2024 Axenfeld Rieger Syndrome – Challenges and Triumphs By Dr M Abdullah Mazhry, LRBT Township Lahore Introduction: Axenfeld–Rieger syndrome (ARS) is a rare autosomal dominant disorder characterized by anterior segment dysgenesis & systemic manifestations. (1) Case Study: A 46 year female presented with complaints of progressively declining vision. BCVA was 6/12-P OD & 6/18-P OU. Key Ocular Findings: Bilateral correctopia and polycoria Bilateral posterior embryotoxon Corneal Diameter of 10mm IOP 38mmHg Right Eye and 32mmHg Left Eye CDR 0.7/0.6 Right Eye & 0.4/0.5 Left Eye Telecanthus Systemic Findings: Mid facial Hypoplasia History of valve replacement surgery because of severe aortic and mitral valve disease History of dental treatment in early teen ages Challenges Encountered: • Refractory glaucoma not controlled despite maximum medical therapy Small hyperopic eye with limited surgical access in case the patient needs catarct surgery in future A middle aged female who is now worried about Solutions Exercised: Bilateral Trabeculectomy with MMC to deal with sight threatning glaucoma Prolonged regular followups Plan cataract surgery in due time to avoid the risk of further complications Cataract Surgery in ARS: With axial lengths of 20.10mm RE and 20.14mm LE, smaller corneal diametres, thicker corneas, and limited visibilty cataract surgery was technically challenging. With cautious and calculated approach, phacoemulsification with IOL Implantation was successfully performed. The Triumphs: A step-by-step management approach, coupled with regular follow-ups and patient counselling to address the emotional impact, is essential in managing complex and rare disorders like Axenfeld-Rieger Syndrome. For an ophthalmologist, the greatest triumph is providing patients with a ray of light called hope! The patient is still in regular follow-up with us. Thank you for your attention.