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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Choroid plexus in the eye: a case study.

Bozho Todorich1, Thomas J Cummings, Sharon Freedman

  • 1*Duke Eye Center, Duke University Medical Center, Durham, North Carolina; and †Department of Pathology, Duke University Medical Center, Durham, North Carolina.

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|November 11, 2014
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Summary
This summary is machine-generated.

This case report details a rare instance of choroid plexus tissue found in a human eye, associated with total retinal detachment (RD) and glaucoma in an infant. This discovery suggests a potential role for choroid plexus in the development of retinal detachment.

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Area of Science:

  • Ophthalmology
  • Pediatric Pathology
  • Developmental Biology

Background:

  • Posterior coloboma is a congenital condition affecting eye development.
  • Retinal detachment (RD) and secondary glaucoma are serious ocular conditions.
  • The presence of metaplastic tissue in congenital ocular anomalies is rare.

Observation:

  • A 3-month-old infant presented with leukocoria and an enlarged eye.
  • The patient was diagnosed with total retinal detachment (RD), secondary glaucoma, and posterior coloboma.
  • Orbital imaging excluded retinoblastoma.

Findings:

  • Histologic analysis revealed metaplastic retinal pigment epithelium with an abrupt transition to choroid plexus tissue within the posterior coloboma.
  • The eye exhibited neovascularization of the iris and total RD.
  • Elevated intraocular pressures persisted despite maximal medical and surgical interventions, leading to enucleation.

Implications:

  • This is the first reported case of choroid plexus within the human eye.
  • The findings suggest that choroid plexus tissue associated with coloboma may contribute to the pathogenesis of RD, potentially by secreting cerebrospinal fluid into the subretinal space.
  • This case expands our understanding of rare congenital ocular malformations and their potential mechanisms.