Neovascular Glaucoma Secondary to Bloch-Sulzberger Syndrome Documented by Retinography and Wide Field Angiography
Thiago Sande Miguel
Universidade Federal Fluminense, Brazil.
Vinicius Sande Miguel
Universidad Grande Río, Brazil.
Bruna Sande Miguel
Universidad Grande Río, Brazil.
Rafaela Pereira Neiva
Suprema, Brazil.
Daniel Almeida da Costa *
UNIFAA, Brazil.
Maurício Bastos Pereira
Universidade Federal Fluminense, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Aims: To describe a Neovascular Glaucoma Secondary to Bloch-Sulzberger Syndrome.
Presentation of Case: A.B.F. female, 23 years old, claimed significant pain sensation and hyperemia in the left eye (LE) for 45 days, without triggering factors. She came to the consultation with a previous diagnosis of Bloch-Sulzberger Syndrome with pigmented lesions in the lower limbs since childhood, being followed up by dermatology since then.
Discussion: The diagnosis of IP (Incontinentia Pigmenti) is complex because it mimics other dermatoses. The impairment in other systems, such as the ophthalmic system, with the possibility of loss of vision and functional disability is a reality. The natural history of retinal lesions is not fully understood. Vascular changes seem to start in the first weeks of life and progress after birth for weeks or months, and may stabilize at any stage, leaving numerous sequelae.
Conclusions: Incontinentia pigmenti is difficult to diagnose and, at each evolutionary stage, presents many differential diagnoses. Eye injuries can lead to blindness as a consequence of ischemic events that can start soon after birth.
Keywords: Genodermatosis, pigment incontinence, x chromosome, ocular manifestations