Abstract
Three generations of a family with conjunctival xerosis, Rieger's anomaly (complete or incomplete) and arcus lipoides are described. The xerosis was found always to be accompanied by a Rieger anomaly, which had sometimes, but not always, been detected before. Independent heredity was not observed. In a number of cases the xerosis was bilateral and localised both temporally and nasally. The combination appears to be a stigma malformationis oculi. Correlation with a temporary vitamin A deficiency in early youth appears possible. At this age in such families caution is advisable in the administration of vitamin A inhibiting medicines such as steroids and neomycine.
Similar content being viewed by others
References
Alkemade PPH. Developmental disorders of the anterior ocular segment and xerosis conjunctiva. Ophthalmologica 1968; 155: 317–329.
Bietti GB. Irido-pupillare Anomalien und Xerosis conjunctiva. Klin Mbl, Augenheilk 1963; 143: 321–330.
West CF. Functies van vitamine A in het lichaam. Voeding 1989; 50: 146–151.
Alkemade PPH. Dysgenesis mesodermalis of the iris and the cornea. Thesis. Assen: Van Gorkum & Co, 1969.
Worst J. The pathogenesis of congenital glaucoma. Thesis. Assen: Van Gorkum & Co, 1966.
Burns RP, Conver W, Gripson J. Cholesterol turnover in hereditary crystaline corneal dystrophy of Schnyder. Tr Am Ophth Soc 1978; 76: 184–195.
Meyer HJ. Dysgenesis mesodermalis and Xerosis conjunctiva. Klin Mbl Augenheilk 1965; 147: 26–31.
Alkemade PPH. Personal communication.
Neugebeuer MA, Vernon A, Brimbow J, Tyrall JC, Hiller EJ, Mauenah C. Nyctalopia and conjunctival xerosis indicating vitamine A deficiency in cystic fibrosis. Eye 1989: 360–364.
Brooks HL, Driebe WT, Schemmer GG. Xerophthalmia und cystic fibrosis. Arch Ophth 1990; 108: 354–357.
Johnson BL. Ocular pathological features of arteriohepatic dysplasia (Algittes syndrome). Am J Ophthalmol 1990; 110: 504–512.
Stock. In discussion with Weigelin; see Ref. No. 13.
Weigelin S. Xerosis der Bindehaut bei sonst normalem Auge. Klin Mbl Augenheilk 1939; 102: 141.
Sommer A, Emran N, Tjakrasidjatma S. Clinical characteristics of vitamin A responsive and non responsive Bitot's spots. Am J Ophthalmol 1980; 90: 160–171.
Padhorayi G. Gobletcells. Arch Alb Graefe 1960; 169: 285–293.
Hendriks HFJ, Brouwer A, Knook DL. The role of hepatic fat storing (stellate) cells in retinal metabolism. Hepatology 1987; 7: 1368–1371.
Schrijver J. Indicatoren van de vitamine A status. Voeding 1989; 50: 152–156.
Sommer A. Field guide to the detection and controle of xerophthalmia, 2nd ed. Geneva: WHO, 1982.
Author information
Authors and Affiliations
Additional information
On the occasion of the Tropical Ophthalmology session of the Netherlands Ophthalmological Society, 1991, and 25 years after the presentation of Alkemade's paper on Xerosis-Aniridia at the session of 1966.
Rights and permissions
About this article
Cite this article
De Keizer, R.J.W. Conjunctival xerosis, arcus lipoides and Rieger's disease. Doc Ophthalmol 78, 265–271 (1991). https://doi.org/10.1007/BF00165690
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00165690