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Published on: May 30, 2025
Infantile bilateral glaucoma in a child with ectodermal dysplasia
Michele Callea1, Agatino Vinciguerra, Colin E Willoughby
1Maxillo-Facial Surgery and Dentistry, Institute for Maternal and Child Health at IRCCS Burlo Garofolo, Trieste, Italy. mcallea@gmail.com
Insights
X-linked hypohidrotic ectodermal dysplasia (XHED) is a rare genetic disorder. This study reports a child with XHED who developed infantile bilateral glaucoma, a previously undocumented ocular complication.
Area of Science:
- Genetics
- Ophthalmology
- Dermatology
Background:
- Ectodermal dysplasia encompasses over 200 conditions affecting ectodermal derivatives.
- X-linked hypohidrotic ectodermal dysplasia (XHED) is the most prevalent form, characterized by hypotrichosis, hypohidrosis, and hypodontia.
- Ocular manifestations in XHED typically include dry eyes due to meibomian gland dysfunction.
Observation:
- A pediatric case of XHED with confirmed molecular diagnosis is presented.
- The patient exhibited classical XHED features.
- Notably, the child also presented with infantile bilateral glaucoma.
Findings:
- This report details a novel association between XHED and infantile bilateral glaucoma.
- The findings expand the spectrum of ocular complications associated with XHED.
- Molecular confirmation of XHED provides a definitive diagnosis.
Implications:
- This case highlights the importance of comprehensive ophthalmological evaluation in children with XHED.
- Understanding the link between XHED and glaucoma may lead to earlier diagnosis and intervention.
- Further research is warranted to elucidate the underlying mechanisms connecting XHED and glaucoma.
Abstract:
Ectodermal dysplasia is a rare disease which affects at least two ectodermal-derived structures such as hair, nails, skin, sweat glands and teeth. Approximately 200 different conditions have been classified as an ectodermal dysplasia and X-linked hypohidrotic ectodermal dysplasia (XHED) represents the commonest form. Clinically, XHED is characterized by hypotrichosis, hypohidrosis and hypodontia. A variety of ocular manifestations have been reported in XHED, the most common being dryness of eyes due to tear deficiency and instability of the film secondary to the absence of meibomian gland function. Here we report a child with the distinctive clinical features of XHED confirmed with molecular diagnosis who presented with infantile bilateral glaucoma, in addition to the classical ocular involvement in XHED.
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