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Letter to the Editor
Unilateral arcus lipoides corneae with contralateral Sturge–Weber syndrome
  1. ISABEL M VELTEN,
  2. WIDO M BUDDE,
  3. GOTTFRIED O H NAUMANN
  1. Department of Ophthalmology and University Eye Hospital, Friedrich-Alexander University of Erlangen-Nürnberg, Schwabachanlage 6, D-91054 Erlangen, Germany
  1. Dr Isabel M Velten, Augenklinik mit Poliklinik der Universität Erlangen-Nürnberg, Schwabachanlage 6, D-91054 Erlangen, Germany isabel.velten{at}augen.imed.uni-erlangen.de

https://doi.org/10.1136/bjo.84.12.1432a

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    Editor,—Arcus lipoides corneae usually occurs bilaterally and symmetrically.1 Pronounced unilateral arcus lipoides corneae occurs in atrophic eyes, less marked with relative ocular hypotension2-4 or contralateral carotid artery stenosis.5-7 We report on a patient with unilateral arcus lipoides in the normal eye sparing the other one with Sturge–Weber syndrome.

    CASE REPORT

    A 33 year old patient showed a left sided secondary juvenile open angle glaucoma due to Sturge–Weber syndrome. The glaucoma diagnosed at the age of 10 months with a maximum intraocular pressure (IOP) of 40 mm Hg had been treated twice by diathermy of the ciliary body, and once by trabeculectomy during the first 6 years of life. Since then, the …

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