Abstract
We report a retrospective study of five patients with monocular Fuchs' heterochromic cyclitis associated with an ipsilateral Horner's syndrome. The minimum follow-up was 10 years. The presenting findings were cyclitis in three of the patients and heterochromia iridis associated with blepharoptosis in the other two. The major factors affecting all five patients were cataract and glaucoma. The intraocular pressure was uncontrolled even with maximal therapy, and antiglaucomatous surgery was performed in all cases. A short period of good postoperative control was followed by an intractable ocular hypertension, causing loss of useful vision in all patients. The remarkable combination of Horner's syndrome with glaucoma and their interaction is discussed.
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Selected References
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- Arffa R. C., Schlaegel T. F., Jr Chorioretinal scars in Fuchs' heterochromic iridocyclitis. Arch Ophthalmol. 1984 Aug;102(8):1153–1155. doi: 10.1001/archopht.1984.01040030931016. [DOI] [PubMed] [Google Scholar]
- Brazier D. J. Ocular sympathetic denervation associated with ocular hypertension: a case report. Br J Ophthalmol. 1983 May;67(5):297–301. doi: 10.1136/bjo.67.5.297. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CALMETTES, DEODATI, AMALRIC Un cas d'association d'hétérochromie de Fuchs et de syndrome de Claude Bernard-Horner. Rev Otoneuroophtalmol. 1953 Aug-Sep;25(6):399–400. [PubMed] [Google Scholar]
- FRANCESCHETTI A. Heterochromic cyclitis: Fuchs' syndrome. Am J Ophthalmol. 1955 Apr;39(4 Pt 2):50–58. doi: 10.1016/0002-9394(55)90152-5. [DOI] [PubMed] [Google Scholar]
- HUBER A. [Glaucoma in Fuch's complicated heterochromia]. Ophthalmologica. 1961;142:66–115. doi: 10.1159/000304121. [DOI] [PubMed] [Google Scholar]
- Hart C. T., Ward D. M. Intra-ocular pressure in Fuchs's heterochromic uveitis. Br J Ophthalmol. 1967 Nov;51(11):739–743. doi: 10.1136/bjo.51.11.739. [DOI] [PMC free article] [PubMed] [Google Scholar]
- JULIEN R. G., VINCENDEAU J. Hétérochromie de Fuchs, glaucome et sympathomimétiques. Bull Soc Ophtalmol Fr. 1956 Jan;(1):187–188. [PubMed] [Google Scholar]
- KIMURA S. J., HOGAN M. J., THYGESON P. Fuchs' syndrome of heterochromic cyclitis. AMA Arch Ophthalmol. 1955 Aug;54(2):179–186. doi: 10.1001/archopht.1955.00930020181003. [DOI] [PubMed] [Google Scholar]
- LANGHAM M. E., TAYLOR C. B. The influence of pre- and postganglionic section of the cervical sympathetic on the intraocular pressure of rabbits and cats. J Physiol. 1960 Jul;152:437–446. doi: 10.1113/jphysiol.1960.sp006498. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lemke L. Das Glaukom bei Heterochromiecyclitis. Ophthalmologica. 1966;151(4):457–464. doi: 10.1159/000304903. [DOI] [PubMed] [Google Scholar]
- Liesegang T. J. Clinical features and prognosis in Fuchs' uveitis syndrome. Arch Ophthalmol. 1982 Oct;100(10):1622–1626. doi: 10.1001/archopht.1982.01030040600009. [DOI] [PubMed] [Google Scholar]
- Norn M. S. Cataract extraction in Fuchs' heterochromia. Follow-up of 19 cases. Acta Ophthalmol (Copenh) 1968;46(4):685–699. doi: 10.1111/j.1755-3768.1968.tb02865.x. [DOI] [PubMed] [Google Scholar]
- O'Connor G. R. Doyne lecture. Heterochromic iridocyclitis. Trans Ophthalmol Soc U K. 1985;104(Pt 3):219–231. [PubMed] [Google Scholar]
- SEARS M. L., BARANY E. H. Outflow resistance and adrenergic mechanisms. Effects of sympathectomy, N-(2-chloroethyl) dibenzylamine hydrochloride (dibenamine) and dichloroiso-proterenol on the outflow resistance of the rabbit eye. Arch Ophthalmol. 1960 Dec;64:839–848. doi: 10.1001/archopht.1960.01840010841004. [DOI] [PubMed] [Google Scholar]
- SWEGMARK G. AQUEOUS HUMOUR DYNAMICS IN HORNER'S SYNDROME. Trans Ophthalmol Soc U K. 1963;83:255–261. [PubMed] [Google Scholar]
- Smith R. E., O'Connor G. R. Cataract extraction in Fuchs syndrome. Arch Ophthalmol. 1974 Jan;91(1):39–41. doi: 10.1001/archopht.1974.03900060043010. [DOI] [PubMed] [Google Scholar]
- Toledo de Abreu M., Belfort R., Jr, Hirata P. S. Fuchs' heterochromic cyclitis and ocular toxoplasmosis. Am J Ophthalmol. 1982 Jun;93(6):739–744. doi: 10.1016/0002-9394(82)90470-6. [DOI] [PubMed] [Google Scholar]
- VELICKY J. V'YSKYT A DIAGNOSTIKA GLAUKOMU P RI KOMPLIKOVAN'E HETEROCHROMII. Cesk Oftalmol. 1964 Jul;20:298–301. [PubMed] [Google Scholar]
- Ward D. M., Hart C. T. Complicated cataract extraction in Fuchs's heterochromic uveitis. Br J Ophthalmol. 1967 Aug;51(8):530–538. doi: 10.1136/bjo.51.8.530. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weinstein G. W., Langham M. E. Horner's syndrome and glaucoma. Report of a case. Arch Ophthalmol. 1969 Oct;82(4):483–486. doi: 10.1001/archopht.1969.00990020485011. [DOI] [PubMed] [Google Scholar]
- Wentworth W. O., Brubaker R. F. Aqueous humor dynamics in a series of patients with third neuron Horner's syndrome. Am J Ophthalmol. 1981 Sep;92(3):407–415. doi: 10.1016/0002-9394(81)90533-x. [DOI] [PubMed] [Google Scholar]
