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Open angle glaucoma in a case of Type IV Ehler Danlos syndrome: a rarely reported association.
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A
26
-
year
-old
male
presented
to
us
with
defective
vision
in
the
left
eye
.
He
had
best
corrected
visual
acuity
(
BCVA
)
of
hand
movement
(
HM
)
in
right
eye
and
6
/
9
in
left
eye
.
He
had
ptosis
with
ectropion
in
both
eyes
and
relative
afferent
pupillary
defect
(
RAPD
)
in
right
eye
.
Intraocular
pressure
(
IOP
)
was
46
and
44
mmHg
in
right
and
left
eye
,
respectively
.
Fundus
showed
glaucomatous
optic
atrophy
(
GOA
)
in
right
eye
and
cup
disc
ratio
(
CDR
)
of
0
.
75
with
bipolar
rim
thinning
in
left
eye
.
Systemic
examination
showed
hyperextensible
skin
and
joints
,
acrogeria
,
hypodontia
,
high
arched
palate
,
and
varicose
veins
.
He
gave
history
of
easy
bruising
and
tendency
to
fall
and
history
of
intestinal
rupture
5
years
ago
for
which
he
had
undergone
surgery
.
He
was
diagnosed
as
a
case
of
Type
IV
Ehler-
Danlos
syndrome
(
EDS
)
with
open
angle
glaucoma
.
He
underwent
trabeculectomy
in
both
eyes
.
This
is
a
rare
case
that
shows
glaucoma
in
a
patient
of
EDS
Type
IV
.
Very
few
such
cases
have
been
reported
in
literature
.
