case_images: PMC11749601_01
case_images: (A and B) The anterior segment photograph showed congenital ectropion uvea, and ultrasound biomicroscopy showed the high anterior insertion of the iris root in the right eye at the first visit in 2018. (C) Gonioscopy examination of the right eye showed an almost closed angle with anterior insertion of the iris, except for the 7 o'clock position with an open angle (red arrow) at the 3-yr follow-up in 2021. (D) Ultrasound biomicroscopy showed an obscured anterior chamber angle with high iris insertion in 2021.
case_images: medi-104-e41239-g001.jpg
case_images: PMC11749601_01_medi-104-e41239-g001.jpg
case_images: F1
case_images: Remarkably, slit-lamp examination revealed 360  ectropion uveae, extending around from the pupil to the mid-periphery of the iris, with a sharply demarcated circular border (Fig. 1A). One month after the blunt trauma, ultrasound biomicroscopy of the right eye showed the high anterior insertion of the iris root (Fig. 1B). Gonioscopy examination of the right eye revealed an almost closed angle with anterior insertion of the iris except for the 7 o'clock position, which had an open angle (Fig. 1C). Ultrasound biomicroscopy also showed an obscured anterior chamber angle with high iris insertion (Fig. 1D).
case_images: Fundus manifestation of the patient during the second consultation. (A) Optic disc assessment showed advanced glaucomatous disc changes in the right eye. (B) Optical coherence tomography angiography revealed a reduction in the thickness of the peripapillary retinal nerve fiber layer and ganglion cell complex in the right eye.
case_images: medi-104-e41239-g002.jpg
case_images: PMC11749601_01_medi-104-e41239-g002.jpg
case_images: F2
case_images: The fundus revealed the cup-disc ratio was 0.8 in the right eye with diffuse peripapillary retinal nerve fiber layer loss (Fig. 2A). The thicknesses of the peripapillary retinal nerve fiber layer and ganglion cell complex, as evaluated by optical coherence tomography angiography (Optovue, Inc., Fremont), were reduced in the right eye (Fig. 2B).
case_images: Photograph of the postoperative anterior segment. (A) The anterior segment photograph of the glaucoma drainage valve implanted in the right eye. (B) A narrowing of the everted iris pigment epithelium after mydriasis confirmed the sphincter muscle of the iris and the stroma were not affected in the patient with CEU. CEU = congenital ectropion uveae.
case_images: medi-104-e41239-g003.jpg
case_images: PMC11749601_01_medi-104-e41239-g003.jpg
case_images: F3
case_images: The AGV was in place and unobstructed, without proliferation or wrapping of the filtering bleb (Fig. 3A).