Juvenile onset of ocular hypertension associated with de novo nail-patellar syndrome.

PURPOSE: To report a rare case of juvenile-onset ocular hypertension (OHT) associated with nail-patellar syndrome (NPS).

METHOD: Clinical data of the patient were reviewed retrospectively.

RESULTS

A 29-year-old woman was referred due to uncontrollable OHT. The OHT was found to be associated with NPS, a disorder characterized by anomalies of nails and skeletal bones. The patient had a history of high recorded intraocular pressure (IOP), beginning when she was 13 years old. Trabeculotomy was performed in both eyes due to uncontrollable high IOP. Postoperatively, the IOP has been well controlled without deterioration of optic disc appearance or visual field defects.

CONCLUSION

When evaluating patients presenting with juvenile-onset OHT, clinicians should be aware of NPS as a differential diagnosis.