Content area
Full Text
Description
A 35-year-old woman presented with painful decreased vision in both eye over 3 months. On examination, she had a short stature of 4 feet 4 inches, short broad head (brachycephaly; figure 1 A), thickened skin with short broad fingers, brachydactyly ( figure 1 B) and joint stiffness. Best corrected visual acuity (BCVA) in the right eye was 20/200 and finger counting close to face (FCCF) in the left eye. Ocular examination revealed a small globular lens, microspherophakia with stretched zonules causing anterior subluxation ( figure 1 C) resulting in angle closure glaucoma. Intraocular pressure (IOP) was high, with 34 and 38 mm Hg in right and left eye, respectively. The fundus in both eyes showed advanced...