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Letter to the Editor
Retinal neovascularisation in Goltz syndrome (focal dermal hypoplasia)
  1. A A S DUNLOP
  1. Medical Retinal Unit, Moorfields Eye Hospital, City Road, London
  2. Department of Dermatology, Great Ormond Street Hospital for Children, London
  3. Medical Retinal Unit, Moorfields Eye Hospital, City Road, London
  1. J I HARPER
  1. Medical Retinal Unit, Moorfields Eye Hospital, City Road, London
  2. Department of Dermatology, Great Ormond Street Hospital for Children, London
  3. Medical Retinal Unit, Moorfields Eye Hospital, City Road, London
  1. A M P HAMILTON
  1. Medical Retinal Unit, Moorfields Eye Hospital, City Road, London
  2. Department of Dermatology, Great Ormond Street Hospital for Children, London
  3. Medical Retinal Unit, Moorfields Eye Hospital, City Road, London
  1. Dr A A S Dunlop, 66 King Street, Newcastle, NSW 2300, Australia.

https://doi.org/10.1136/bjo.83.9.i1088

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    Editor,—This is the first reported case of Goltz syndrome with documented peripheral retinal non-perfusion with subsequent retinal neovascularisation and vitreous haemorrhage. In the eye this represents solely a mesodermal disturbance compared with the more common cases which present with both mesodermal and neuroectodermal disturbances, such as colobomata or microphthalmia.

    CASE REPORT

    Goltz syndrome was diagnosed shortly after birth in a girl with linear lesions of atrophic skin following Blaschko’s lines on the trunk and symmetrical syndactyly of the third to fourth fingers and second to third toes. Initial ophthalmic screening revealed no ocular anomalies. Dental screening revealed the congenital absence of one deciduous incisor. Screening of the parents, brother, and sister was negative for skin, skeletal, and ocular anomalies. When she was aged 5 years, routine ophthalmic review showed …

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