Ectopia pupillae
Overview
A rare eye malformation where the pupils are not centrally positioned
Symptoms
Malpositioned pupils
Causes
* Iridocorneal endothelial syndrome * Peters anomaly * Rieger anomaly
Treatment
* Left ventricular hypertrophy: Mainstay of therapy is blood pressure control * Tension pneumothorax: Needle decompression, chest tube * Pleural effusion: Thoracentesis or observation and diuretics * Right heart failure: Treat underlying etiology (e.g., hypoxia, pulmonary hypertension); diuretics only for symptomatic relief of lower extremity edema * Aortic aneurysm: Surgical correction if symptomatic, abdominal aneurysm >5 cm, thoracic aneurysm >6 cm (>5.5 cm in Marfan’s syndrome), rapidly expanding (>0.5 cm/year), or thrombotic/embolic complications