Presentation
However, one patient presented with anterior segment features of Axenfeld-Rieger anomaly in one eye, and aniridia in the other eye. [molvis.org]
Typically, patients who present with associated systemic abnormalities tend to have a PITX2 mutation, whereas patients who only present with ocular features, sometimes alongside heart defects and hearing loss, tend to have a FOXC1 mutation. [rarediseases.org]
Intraorally, the subject presented with a retained primary dentition demonstrating gross attrition (Figs 2 & 3). The teeth which were present included 16, 55, 54, 51, 62, 63, 64, 65, 26, 31, 73, 74, 75, 36, 37, 41, 43, 84, 85, 46 and 47. [slideshare.net]
Midface hypoplasia and maxillary hypodontia are classical presenting features of this syndrome. [saudijos.org]
In this present study, the translocation t(4;11)(q25;pter) was seen. [casereports.in]
Entire Body System
- Surgical Procedure
procedures and methods, including oculoplastic, corneal, and glaucoma surgery. [books.google.es]
Neovascular Secondary Glaucoma, Rubeosis Iridis Nerve-Fiber Layer Optic Nerve Head, Optic Disc(k), Papilla Peripapillary Retinoschisis with Two Isolated Cavities in POAG (Colour, Visual Field, OCT) Pigment-Dispersion Syndrome Postoperative Cases and Surgical [atlasophthalmology.net]
In addition, due to the length of the study, these procedures were performed by 5 surgeons who had different criteria for surgical intervention and various levels of expertise in the surgical procedures. [bmcophthalmol.biomedcentral.com]
In a series by Yang et al of 34 eyes of 19 children with Peters anomaly, IOP control with or without antiglaucoma medicine was achieved in 11 eyes (32%) after 1 or more surgical procedures. [4] The visual outcome was poor due to glaucomatous optic neuropathy [emedicine.medscape.com]
- Swelling
[…] evidence from research on brain injury in monkeys but commented that the evidence was 'manifestly incomplete and largely circumstantial'. [ 23, 24 ] The 'triad' of symptoms consists of bilateral subdural haemorrhages, retinal haemorrhage and cerebral swelling [patient.info]
It becomes clinically evident when epithelial and stromal edemas produce painful bullae, which can lead to corneal swelling and severely reduced vision 6. The pathogenesis of Fuchs dystrophy is not entirely understood yet. [scielo.br]
Finally, because of inadequate treatment response and persistent joint swelling arthrocentesis was performed in six patients and analysis yielded a positive TW PCR in all. [ojrd.biomedcentral.com]
Gastrointestinal
- Failure to Thrive
The proband's male half-sibling was referred to the cardiology service for evaluation of a murmur and failure to thrive at 2 years of age. [jamanetwork.com]
Jaw & Teeth
- Prognathism
Both upper (N-ANS) and lower (ANS-Gn) facial heights were decreased, with mild maxillary hypoplasia causing the mandible to appear prominent and giving the patient a slight prognathic appearance. [saudijos.org]
Hypoplasia of the maxilla causes the mandible to appear prominent, giving the patient a prognathic appearance. Aniridia, hypoplastic iris, and glaucoma are the major eye problems. [pediatrics.aappublications.org]
Other features can be hypoplasia of the malar bones, broad flat nasal root, prominent supraorbital ridges, relative prognathism, and mild telecanthus with or without hypertelorism. [whonamedit.com]
Other features include broad flat nasal root, prognathism, short stature, myotonic dystrophy, brachydactyly, polydactyly, anal stenosis, and mental deficiency. [cags.org.ae]
Cardiovascular
- Hypertension
Anterior Chamber Brain and Optical Pathway Choroid Congenital Syndromes, Malformations and Abnomalities Conjunctiva Cornea Glaucomas, Ocular Hypertension Anatomy Classification of the Glaucomas Congenital Dysgenetic Glaucomas, see also Congenital Syndromes [atlasophthalmology.net]
Ocular hypertension in Axenfeld-Rieger Syndrome. Espinosa-Barberi G, Galván González JF, Antón A. Espinosa-Barberi G, et al. Rom J Ophthalmol. 2020 Oct-Dec;64(4):455-458. doi: 10.22336/rjo.2020.70. Rom J Ophthalmol. 2020. [pubmed.ncbi.nlm.nih.gov]
Morphologie, familienanamnese und diagnosezeitpunkt bei 26 patienten mit Axenfeld-Rieger-syndrom und glaukom oder okulärer hypertension. Ophthalmologe 2006;103:393-400. 4. Axenfeld T. Embryotoxon corneae posterius. [aeronline.org]
Eyes
- Corneal Opacity
[…] of Descemet’s membrane and endothelial layers as well as variable degrees of iridocorneal adhesions from the border of the corneal opacity. [eyewiki.aao.org]
Nielsen and Tranebjaerg32 reported a patient with the Rieger syndrome and partial monosomy 21q22.2; the patient's eyes had congenital peripheral corneal opacities with anterior synechia e bilaterally, a small central corneal opacity, "a white membrane [healio.com]
(enophthalmos), Rieger anomaly, and Teething delay. 8.3 Differential Diagnosis 8.3.1 Peters Anomaly (OMIM 604229) Peters anomaly (OMIM 604229) is characterized by central corneal opacity with posterior corneal defect, and iridocorneal and/or lenticular [entokey.com]
Keywords Glaucoma Central Corneal Thickness Corneal Opacity Ectropion Alagille Syndrome Background Anterior segment dysgenesis is a failure of normal development of the anterior segment of the eye. [casesjournal.biomedcentral.com]
- Photophobia
Photophobia may be a symptom resulting from the pupillary and iris abnormalities. The most commonly recognized clinical manifestations of ARS are the iris correctopia/atrophy, and posterior embryotoxon.(figures 1,2). [eyewiki.aao.org]
After uneventful surgery, the patient presented with severe photophobia, redness of the eye, and decreased vision 72 h following the procedure. [ncbi.nlm.nih.gov]
This may have its onset in childhood with typical symptoms of congenital glaucoma such as photophobia, excessive tearing and corneal clouding. [disorders.eyes.arizona.edu]
Presentation ... abnormal iris/pupil ... glaucoma ... photophobia, lacrimation ... decreased visual acuity; extraocular abnormalities ... [ibis-birthdefects.org]
If photophobia is present in patients with corectopia and polycoria, contact lenses may be used to cover the holes in the iris. Prognosis Prognosis is good, particularly in the absence of glaucoma. [orpha.net]
- Visual Impairment
In addition, early-onset visual impairment can have a negative impact on a child’s early general development. [gene.vision]
They include parents of visually impaired children, visually impaired children themselves, Community Paediatricians, Ophthalmologists, Educationalists and Psychologists. [ssc.education.ed.ac.uk]
Early detection and prompt treatment are essential, in order to avoid lifelong visual impairment. [patient.info]
This is a home-based program for the blind or visually impaired between the ages of birth and five years. We were lucky enough to get Tammy, who is a great Parent Advisor. I could not ask for a better person to help with Dalton. [daltonsstory.blogspot.com]
- Blurred Vision
Case Illustration: A 9 years old girl presented to our outpatient clinic with blurred vision in both eyesexperienced since the last 3 years. According to her labor history, she was born normal, full-term, birthweight is unknown. [perdami.or.id]
Case 1 A 56 year-old female (mother) had blurred vision complaints. Her best visual acuity was 20/25 in the right eye and 20/50 in the left eye. [scielo.br]
The patient may complain of eyestrain, dry red eyes, headaches, transient blurred vision or diplopia, as well as neckache or backache. [medical-dictionary.thefreedictionary.com]
This patient also had a younger sister of 5-year-old, who also suffered from blurred vision and had developmental anomalies in maxillary anterior teeth. 3 Discussion ARS was first described by German ophthalmologist Theodor Axenfeld in 1920 as featured [journals.lww.com]
- Lacrimation
It has been reported to be associated with other ocular anomalies such as euryblepharon, strabismus, nystagmus, amblyopia, microphthalmos, lacrimal drainage apparatus abnormality, extra ocular muscle abnormalities, microcornea, trabecular dysgenesis, [ncbi.nlm.nih.gov]
[…] malformations of eye H00620 Axenfeld-Rieger syndrome Human diseases in ICD-11 classification [BR:br08403] 20 Developmental anomalies Structural developmental anomalies primarily affecting one body system Structural developmental anomalies of the eye, eyelid or lacrimal [genome.jp]
Pupillary-Block and Angle-Closure, Secondary Malignant Glaucomas (see also: Lens-induced Glaucomas) Radius-Maumenee Syndrome Trauma (Injury) and Secondary Glaucomas Uveitis and Secondary Glaucomas Visual Fields Hypertensive Retinopathy Iris and Ciliary Body Lacrimal [atlasophthalmology.net]
Workup
Further workup confined the presence of glaucoma in both of her eyes. Slit lamp examination revealed a prominent Schwalbe's line in all quadrants of both the eyes. There was no anomaly of the lens or fundus. A diagnosis of ARS was made. [aeronline.org]
Endoscopic workup was performed in all patients. Gastrointestinal symptoms were mild or absent even in five patients, in which TW could be detected in small intestinal biopsies. [ojrd.biomedcentral.com]
Treatment
A physical examination for non-ocular features associated with ARS is also done. < Previous section Next section > < Previous section Next section > Standard Therapies Treatment The main course of treatment in ARS is the management of glaucoma (if present [rarediseases.org]
The treatment of two patients with various anomalies in Axenfeld-Rieger syndrome is described and discussed. [ncbi.nlm.nih.gov]
Treatment Treatment Options: The presence of glaucoma requires prompt and vigorous treatment but control is difficult with blindness too often the result. Oral surgery may be beneficial for dental problems. Low vision aids can be useful. [disorders.eyes.arizona.edu]
It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]
Prognosis
This study may help to understand clinical findings and prognosis for patients with Axenfeld-Rieger syndrome. [ncbi.nlm.nih.gov]
Early treatment will givebetter visual outcomes and good prognosis to Axenfeld-Rieger syndrome. Keywords: Axenfeld-Rieger syndrome, glaucoma [perdami.or.id]
Prognosis Prognosis is good, particularly in the absence of glaucoma. The documents contained in this web site are presented for information purposes only. [orpha.net]
Diagnosis - Axenfeld-Rieger syndrome Prognosis - Axenfeld-Rieger syndrome Not supplied. Treatment - Axenfeld-Rieger syndrome The treatment of Rieger syndrome is symptomatic and supportive and prostheses are used for dental malformations. [checkorphan.org]
Etiology
Etiology: Mutations of the FOXC1 gene and in the PITX2 gene have been described in families with the Axenfeld-Rieger syndrome (1,2). Clinical Findings: Axenfeld anomaly manifests as a crescentic shaped opacity in the peripheral cornea. [missionforvisionusa.org]
Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]
Its mode of action in the pathogenesis of RIEG was not conclusively proven, since most etiological mutations detected in the RIEG sequence caused amino acid substitutions or splice changes in the homeodomain. [ncbi.nlm.nih.gov]
Epidemiology
The discussion covers the phenotype spectrum, epidemiology, mode of inheritance, pathogenesis, and clinical profile of each condition, all of which is accompanied by a wealth of illustrations. [books.google.ro]
Summary Epidemiology The syndrome has an estimated prevalence of 1/200,000. Clinical description The clinical manifestations of ARS are highly variable. Features can be divided into ocular and non-ocular findings. [orpha.net]
Community Dentistry and Oral Epidemiology. 2004;32:217-226. G reen PD, Hjalt TA, Kirk DE, Sutherland LB, Thomas BL, Sharpe PT, et al. Antagonistic regulation of Dlx2 expression by PITX2 and Msx2: implications for tooth development. [casereports.in]
Pathophysiology
Specifically, the high-resolution mode of the AS-OCT program had improved performance in outlining finer structures such as the distinctive endothelial membrane covering the iris in Axenfeld-Rieger syndrome, which enabled better understanding of the pathophysiology [ncbi.nlm.nih.gov]
Axenfeld syndrome is a rare autosomal dominant [2] disorder, which affects the development of the teeth, eyes, and abdominal region. [3] Pathophysiology [ edit ] The molecular genetics of Axenfeld syndrome are poorly understood, but center on three genes [en.wikipedia.org]
Pathophysiology, diagnosis, and management of glaucoma associated with Sturge-Weber syndrome. Int Ophthalmol. 2018 Feb. 38 (1):409-416. [Medline]. Kargi SH, Koc F, Biglan AW, Davis JS. Visual acuity in children with glaucoma. [emedicine.medscape.com]
Prevention
Early detection of ARS and periodically reviewing potentially elevated intraocular pressure helps physicians to prevent visual field loss and improve the overall prognosis. [saudijos.org]
Early diagnosis of the syndrome from its dento-facial and systemic features is important since subsequent ocular complications may be prevented. A case presenting in a 10-year-old girl is described. [slideshare.net]
Early recognition of dental anomalies aids in detection of the syndrome and prevents progressive loss of vision. This case report discusses the ocular, dental, and craniofacial findings and the overall management of the patient. [ncbi.nlm.nih.gov]
Early detection of ARS can also prevent serious ophthalmological problems. [hindawi.com]