The Weill-Marchesani syndrome: report of two cases and a review

Two cases of the Weill-Marchesani syndrome are reported. The diagnosis very likely is being missed in some cases in which the skeletal abnormalities are minor and the patients are not referred for systemic examination. Medical therapy has not been successful in most patients for the management of the pupillary-block angle-closure glaucoma encountered in this syndrome. Laser iridectomy, which does not risk vitreous fluid loss and other serious surgical complications in this disorder, probably is a safer choice as an initial procedure than is the use of peripheral iridectomy. A review of the pathogenesis of the syndrome and of its treatment is included.