000 03014cam a2200397 4500500
005 20250121155346.0
041 _afre
042 _adc
100 1 0 _aHuang, Shitong
_eauthor
700 1 0 _a Yang, Yangfan
_eauthor
700 1 0 _a Ouyang, Zhikun
_eauthor
700 1 0 _a Guo, Xiujuan
_eauthor
700 1 0 _a Zhan, Zongyi
_eauthor
700 1 0 _a Liu, Xing
_eauthor
700 1 0 _a Chen, Zidong
_eauthor
700 1 0 _a Xu, Jiangang
_eauthor
700 1 0 _a Yu, Minbin
_eauthor
245 0 0 _aThe risk of glaucoma associated with phacomatosis cesioflammea and phacomatosis cesioflammeo-marmorata
260 _c2022.
500 _a26
520 _aBackgroundThe ocular features of phacomatosis pigmentovascularis (PPV) have rarely been reported, and glaucoma is the leading cause of blindness in patients with this condition. To protect vision in these patients, it is important to identify glaucoma as early as possible.ObjectivesTo systematically report the systemic and ocular manifestations of phacomatosis cesioflammea and phacomatosis cesioflammeo-marmorata, and to investigate a glaucoma risk scoring system.Materials & MethodsIn this prospective study, patients with PPV from 2014 to 2021 were included. Clinical information was collected, and associations with glaucoma were evaluated. The suitability of the scoring system was assessed. A systematic literature review and analysis of reported cases of PPV was performed.ResultsA total of 28 participants with PPV were included. Their ocular findings were similar, ranging from episcleral hyperpigmentation (78.5%), glaucoma (75%), choroid haemangioma (38%), and retinal vascular abnormalities (48%), to hyperpigmentation of the cornea, iris, lens and fundus. Glaucoma was associated with multiple factors, especially a thick choroid (odds ratio: 2.61; p = 0.008) and a diffuse mass-type of episcleral hyperpigmentation (odds ratio: 41.3; p = 0.027). The risk scoring system was characterized by high sensitivity (84%) and specificity (80%; AUC= 0.91) in predicting glaucoma.ConclusionIn addition to involving the systemic system, phacomatosis cesioflammea and phacomatosis cesioflammeo-marmorata also represent a specific spectrum of ophthalmic vascular malformations and hyperpigmentation. Early and periodic detailed ocular examination are recommended. The novel scoring system will help to tailor follow-up for visual protection.
690 _aocular manifestation
690 _aport-wine stains
690 _apigmentation
690 _anevus of Ota
690 _aglaucoma
690 _aphacomatosis pigmentovascularis
690 _aocular manifestation
690 _aport-wine stains
690 _apigmentation
690 _anevus of Ota
690 _aglaucoma
690 _aphacomatosis pigmentovascularis
786 0 _nEuropean Journal of Dermatology | 32 | 5 | 2022-09-01 | p. 589-596 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2022-5-page-589?lang=en&redirect-ssocas=7080
999 _c604539
_d604539