Ocular manifestations of facial port-wine stain, nevus of Ota, and phakomatosis pigmentovascularis in Asian patients - 18/08/20

Doi : 10.1016/j.jaad.2020.04.169

Nootchanard Rujimethapass, MD ^a, Woraphong Manuskiatti, MD ^a,^⁎ , Rungsima Wanitphakdeedecha, MD ^a, Sakaorat Petchyim, MD ^b
^a Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
^b Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

^∗Reprint requests: Woraphong Manuskiatti, MD, Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Rd, Bangkok 10700, Thailand.Department of DermatologyFaculty of Medicine Siriraj HospitalMahidol University2 Wanglang RdBangkok10700Thailand

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Tuesday 18 August 2020
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Abstract

Background

Heightened intraocular pressure resulting in glaucoma and impaired vision is treatable if detected early. It is therefore necessary to identify populations at risk for glaucoma for regular screening visits.

Objective

To investigate the prevalence of glaucoma in patients with facial port-wine stains (PWSs), nevus of Ota, and phakomatosis pigmentovascularis (PPV) and to establish the association between facial vascular birthmarks and ocular complications.

Methods

This study is a retrospective chart review of 166 patients with facial PWS, PPV, and nevus of Ota over a 10-year period.

Results

Of the 166 cases, 76 patients were diagnosed with PWS, 83 with nevus of Ota, and 7 with PPV. The mean age of patients was 12.8 years, ranging from newborn to 63 years old. Fifteen patients were diagnosed with glaucoma. Of 15 patients, 11 presented with PWS, and 4 presented with both PWS and PPV. Of 83 patients with nevus of Ota, only 2 (2.4%) presented with increased ocular pressure.

Limitations

The relatively short follow-up period is a limiting factor in this study.

Conclusions

Early and periodic ophthalmic examinations in patients with PWS, PPV, and nevus of Ota are essential to minimizing the risk of developing glaucoma in these groups of patients.

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Key words : blindness, facial port-wine stains, glaucoma, increased intraocular pressure, ocular manifestation, nevus of Ota, phakomatosis pigmentovascularis

Abbreviations used : CI, IOP, LA, OM, PPV, PWS, SWS