ESCRS - POCAT013 - Axenfeld Reiger Syndrome-Challenges And Triumphs

Axenfeld Reiger Syndrome-Challenges And Triumphs

Published 2026 - 44th Congress of the ESCRS

Reference: POCAT013 | Type: Case Report | DOI: 10.82333/fn3v-v087

Authors: Dr Laiba Asif Mazhry 1 , Dr Muhammad Abdullah Mazhry 2 , A/Prof. Zia ul Mazhry* 3

1Mughal Eye Hospital Trust,Lahore,Pakistan, 2LRBT Township,Lahore,Pakistan, 3Wapda Teaching Hospital Complex,Lahore,Pakistan

Purpose

To highlight the clinical features, treatment decisions and challenges faced in the management of a patient with Axenfeld Reiger Syndrome.

Setting

Wapda Teaching Hospital

Report of case

A 44-year-old female patient presented with complaints of progressively decreasing vision. The slit-lamp microscopic examination of the anterior segment showed polycoria, corectopia and nuclear cataract and bilateral well formed blebs. Patient had undergone bilateral trabeculectomy. Phacoemulsification in combination with intraocular lens implantation on her left eye was performed followed by the right eye.

Conclusion/Take home message

Phacoemulsification in eyes with axenfeld-rieger syndrome is technically difficult because of anterior chamber and angle anomalies. Furthermore the

challenges of small eye phaco are also encountered. Our case aims to highlight these challenges.