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KMID : 0360220170580081008
Journal of the Korean Ophthalmological Society
2017 Volume.58 No. 8 p.1008 ~ p.1011
Williams Syndrome with Ocular Manifestations
Lee Seung-Ki

Hong Hyun-Kyu
Lyu In-Joeng
Abstract
Purpose: To report two cases of Williams syndrome with ocular manifestations.

Case summary: A 5-year-old boy who was diagnosed with Williams syndrome visited our hospital for ophthalmic examination. Best corrected visual acuity (BCVA) in both eyes was 0.6. He had myopic astigmatism and 8 prism diopters of esotropia. Oval-shaped pupil with a stellate pattern of the iris and increased retinal vascular tortuosity were seen in both eyes. Another case of an 8-year-old boy with Williams syndrome also had myopia in both eyes. BCVA was 0.7 in the right eye and 0.4 in the left eye. A stellate pattern of the iris and increased retinal vascular tortuosity were also seen in both eyes.

Conclusions: Williams syndrome, deletion of 7q11.23, has ocular anomalies including a stellate pattern of the iris, refractive errors, amblyopia, and strabismus. Therefore, careful ophthalmic examination should be considered when children are diagnosed with Williams syndrome.
KEYWORD
Ocular manifestation, Retinal vascular tortuosity, Stellate pattern, Williams syndrome
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