DR. LEILA MOHAN

DR. PADMAJA KRISHNAN

Abstract

Congenital Ectropion Uvea(CEU) in an infant warrants follow up for glaucoma. Neurofibromatosis(NF1) association has poor prognosis

Purpose :To present a case of CEU which later developed glaucoma and NF1. A 2 year old girl presented with prominence of LE since birth, not increasing in size. O/E LE was larger, showed proptosis with puffiness of lid. Megalocornea with Ectropion uvea 4- 8 o ‘ clock. Large anisometropia:RE-0.5/-1.0/180:LE was -4.0/-2.0/180.Visual acuity(VA) was 20/45(13cpd)at 38cm.She underwent EUA to R/O glaucoma. Axial Length was-21.2/22.79mm; IOP 7/9mm Hg Perkins;LE ectropion uveae from 4 to 8 0 ‘clock;CD 12/12.5mm,Cornea clear, no Haab’s striae; Gonioscopy -large iris processes,pigmented TM in LE;F-no cupping RE/c/d ratio was 0.1inLE.After1year,myopia increased by 2D:AL–22.05/24.88 :F-showed 0.6 c/d LE: Gonio-Large iris process/TM not seenIOP 8/14;Put on Timolet e/d. CTprominent optic nerve shadow, enlargement of ON canal and enlargement EOM.Signs of NF1