Retinal detachment in a child with severe early childhood onset retinal dystrophy
| Autor: | Brijesh Takkar, Sohini Mandal, Vinod Kumar, Srikanta Kumar Padhy |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Refractive error Intraocular pressure Images In… genetic structures Leber Congenital Amaurosis Fundus (eye) 03 medical and health sciences 0302 clinical medicine Ophthalmology Humans Medicine Macula Lutea Child business.industry Macular coloboma Retinal Detachment Infant Retinal detachment General Medicine medicine.disease eye diseases Coloboma Severe early childhood onset retinal dystrophy 030221 ophthalmology & optometry sense organs Posterior subcapsular cataract business Exotropia Tomography Optical Coherence 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2018-227073 |
| Popis: | A 10-year-old boy was seen with the complaints of blurring of vision in his left eye (LE) since 3 months. The child had a history of poor vision in both the eyes since early childhood. There was no history of trauma. Birth and family history were insignificant. On presentation, the best corrected visual acuity in right eye (RE) was 2/60 and hand motions in LE. The spherical equivalent of refractive error was +2.5D in RE and could not be determined in LE. Fat atrophy of bilateral orbits with deep-set eyeballs were noted. A left dominant alternate divergent exotropia of 90 prism dioptres was also seen. Slit lamp examination of LE revealed few pigments on corneal endothelium, posterior synechiae at 5 o’clock position, small (mention size 1 or 2 mm) posterior subcapsular cataract and retrolental pigments. A relative afferent pupillary defect was present in LE. The intraocular pressure as recorded with non-contact tonometry was 14 mm Hg and 10 mm Hg in RE and LE, respectively. Anterior segment of the RE was normal. Dilated fundus evaluation of RE revealed an isolated macular coloboma measuring three disc diameters in its longest dimension (figure 1), while LE had a total retinal detachment … |
| Databáze: | OpenAIRE |
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