Content area
Full Text
Description
A 29-year-old woman with a history of renal cysts, hypertension and lymphoedema-distichiasis syndrome, was referred to ophthalmology, with bilateral blurred vision, hyperaemia and ocular pain, developed over months.
The patient had no positive family history for lymphoedema-distichiasis or other diseases.
Clinical examination revealed stunted height (144 cm), neck webbing ( figure 1 ), bilateral and asymmetric lymphoedema ( figure 2 ), bilateral distichiasis ( figure 3 ) and keratitis ( figure 4 ). Other ocular manifestations of lymphoedema-distichiasis, such as ptosis and strabismus, were excluded through ophthalmological examination.
Spinal MRI revealed multiple arachnoidal extradural cysts in the thoracolumbar and sacral spine ( figure 5 , arrows).
The patient's symptoms regressed with bilateral electrolysis of...