alexa

GET THE APP

Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Axenfeld-Rieger Syndrome
ISSN: 2165-7386

Journal of Palliative Care & Medicine
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Axenfeld-Rieger Syndrome

Mohamed Abdallahi Ould Hamed*, Abdoulsalam Youssoufou Soulay, Karim Reda and Abdelbarre Oubaaz
Department of Ophthalmology, Med V Military Hospital of Rabat, Morocco
*Corresponding Author: Mohamed Abdallahi Ould Hamed, Department of Ophthalmology, Med V Military Hospital of Rabat, Morocco, Tel: +212655835932, Email: [email protected]

Received: 21-May-2018 / Accepted Date: 24-May-2018 / Published Date: 31-May-2018 DOI: 10.4172/2165-7386.1000336

Introduction

We report the case of a patient aged 47 who consult for a decrease in visual acuity. Examination of the anterior segment spotting unilateral irrido-trabecular dysgenesis of the right eye with abnormal visibility of the schwalbe line corresponding to a posterior embryotoxon and associated angular abnormalities (Figures 1-3).

palliative-care-medicine-Embryotoxon

Figure 1: Embryotoxon on the temporal side of the right eye.

palliative-care-medicine-nasal-side

Figure 2: Embryotoxon on the nasal side of the right eye.

palliative-care-medicine-Angular-abnormalities

Figure 3: Angular abnormalities of the right eye.

The eye tone measured with Goldmann tonometer showed 14 mmHg in the right eye and 15 mmHg in the left eye. The examination of the fundus of the eye finds symmetrical morphology of the optic discs without pathological excavation.

The remainder of the somatic examination reveals no abnormality associated especially the absence of dental malformation. Chronic glaucoma is seen in 50% of patients [1]. The diagnosis of Axenfeld- Reiger syndrome uncomplicated of chronic glaucoma has been established, despite the absence of signs of Rieger [1]. No treatment has been established. Regular checks have been proposed to detect any complications including glaucoma.

Conclusion

This syndrome is inherited as an autosomal dominant manner. It is found that 2 genes are mainly involved in the transmission; PITX2 gene in 4q25, present in 10-60% of patients, mainly associated with systemic alterations such as dental malformations [2,3].

The other gene responsible is FOXC1 located in 6q25, present in 50% of cases and manifested by ocular alterations, especially glaucoma [2-4]. The differential diagnosis arises with the Peters anomaly which consists of a defect of the posterior surface of the cornea associated with a stromal opacity. Currently, it is suggested that all these abnormalities are actually part of the same syndrome, Axenfeld-Rieger syndrome [5].

References

Citation: Ould Hamed MA, Soulay AY, Reda K, Oubaaz A (2018) Axenfeld-Rieger Syndrome. J Palliat Care Med 8: 336. DOI: 10.4172/2165-7386.1000336

Copyright: © 2018 Ould Hamed MA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Select your language of interest to view the total content in your interested language

Post Your Comment Citation
Share This Article
Article Usage
  • Total views: 2784
  • [From(publication date): 0-2018 - May 26, 2022]
  • Breakdown by view type
  • HTML page views: 2426
  • PDF downloads: 358
Top