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Glaucoma in Phacomatosis Pigmentovascularis in a Young African Male: A Case Report.

Journal of Glaucoma 2019 April 16
BACKGROUND: Phacomatosis pigmentovascularis has previously almost exclusively been reported in Asians and in dermatological journals. In this report, we present a case of a young black South African male referred to our eye clinic.

CASE PRESENTATION: A 15-year-old male patient presented with gradual, painless loss of vision in his right eye. Clinical examination revealed a port wine stain with ocular involvement on the right as well as a nevus of Ota. Fundoscopy on the right revealed an advanced glaucomatous optic disc and raised intra-ocular pressure. A diagnosis of glaucoma associated with phacomatosis pigmentovascularis was made.

CONCLUSION: We present the first case of phacomatosis pigmentovascularis in an African male with associated glaucoma seen at our tertiary hospital.

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