Bilateral ocular manifestations of Sturge-Weber syndrome: a rare case report

TL;DR

This case report describes a rare instance of Sturge-Weber syndrome with bilateral eye symptoms and glaucoma.

Contribution

The paper presents a new clinical case of SWS with bilateral ocular manifestations and glaucomatous changes.

Findings

The patient exhibited bilateral glaucomatous disc changes with elevated intraocular pressure.

The patient showed characteristic port wine stain and scleral discoloration associated with SWS.

Treatment with antiglaucoma medications was initiated following diagnosis.

Abstract

The rare neurocutaneous condition known as Sturge-Weber syndrome (SWS) is characterized by leptomeninges, or angiomas affecting the face, eyes, and brain. We report a newly diagnosed case that came to our institute complaining of a diminution of vision BE that had been going on for the past 1 year. Upon examination, the patient exhibited bluish discoloration of the sclera, an increase in the size of the cornea, and the characteristic port wine stain (PWS) on the face.

Intraocular pressure BE was 30 mmHg with an applanation tonometer. The cup disc ratio on fundoscopy was 0.9 RE and 0.8 LE with characteristic glaucomatous disc changes BE. The child was treated with antiglaucoma medications.

Abbreviations: SWS = Sturge-Weber syndrome, PWS = Port wine stain, CNS = Central nervous system, CT = Computed Tomography, IOP = Intraocular pressure, OCT = Optical coherence tomography, RE = Right eye, LE = Left eye, BE = Both eyes, ASOCT = Anterior segment optical coherence tomography

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