PURPOSE
To report the phenomenon of high measured intraocular pressure in recessive congenital hereditary endothelial dystrophy.
METHODS
A case series was retrospectively reviewed.
RESULTS
Five infants with significant congenital corneal haze had increased measured intraocular pressure that remained high despite drug treatment and surgery to decrease intraocular pressure. The clinical diagnosis of recessive congenital hereditary endothelial dystrophy without glaucoma was made based on the absence of buphthalmos, a distinct pattern of mosaic corneal haze with significant corneal thickness, and absence of cupping in healthy-appearing optic nerve heads.
CONCLUSION
Intraocular pressure can be falsely elevated in some children with recessive congenital hereditary endothelial dystrophy, leading to confusion with congenital glaucoma.
[J Pediatr Ophthalmol Strabismus 2010;47:29-33.]
AUTHORS
From the King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Originally submitted May 14, 2008. Accepted for publication September 24, 2008. Posted online April 20, 2009.
The authors have no financial or proprietary interest in the materials presented herein.
Address correspondence to Arif O. Khan, MD, King Khaled Eye Specialist Hospital, P. O. Box 7191, Riyadh 11462, Saudi Arabia.
doi: 10.3928/01913913-20100106-07
