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Glaucoma in Phacomatosis Pigmentovascularis in a Young African Adolescent Boy: A Case Report
Ernst B van der Merwe1, Raquel E Bhika, David Meyer
1Division of Ophthalmology, Faculty of Medicine and Health Sciences, Tygerberg Academic Hospital and Stellenbosch University, Cape Town, South Africa.
Background:
Phacomatosis pigmentovascularis (PPV) 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 adolescent boy referred to our eye clinic.
Case Report:
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 intraocular pressure. A diagnosis of glaucoma associated with PPV was made.
Conclusion:
We present the first case of PPV in an African male individual with associated glaucoma seen at our tertiary hospital.
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