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 Table of Contents    
CLINICAL QUIZ
Year : 2012  |  Volume : 5  |  Issue : 3  |  Page : 203  

Two cases with one diagnosis


Department of Ophthalmology, Al Nahdha Hospital, Muscat, Sultanate of Oman

Date of Web Publication15-Jan-2013

Correspondence Address:
Huda Al Farsi
OMSB Ophthalmology Resident, Al Nahdha Hospital, Muscat
Sultanate of Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.106110

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How to cite this article:
Al Belushi F, Al Farsi H. Two cases with one diagnosis. Oman J Ophthalmol 2012;5:203

How to cite this URL:
Al Belushi F, Al Farsi H. Two cases with one diagnosis. Oman J Ophthalmol [serial online] 2012 [cited 2020 May 30];5:203. Available from: http://www.ojoonline.org/text.asp?2012/5/3/203/106110


   Case 1 Top


A four year-old Omani child, presented with right eye proptosis at the age of four months. She was diagnosed to have congenital glaucoma.

Physical Examination revealed the following [Figure 1], [Figure 1]a and b, [Figure 2]:
Figure 1: Four-year-old child with right eye proptosis, (a) Café-au-lait spot (case 1), (b) Café-au-lait spot (case 1)

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Figure 2: Iris lisch nodules (case 1)

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Computed Tomography (CT) scan of the orbits showed the following [Figure 3]:

  1. What is the most likely diagnosis
  2. Name the clinical signs shown in the [Figure 1]a, b and [Figure 2]
  3. List two findings on CT orbits
    Figure 3: Computed tomography of head and orbit (case 1)

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   Case 2 Top


A 23-year-old Omani female presented with a history of gradual reduction of vision in the right eye. Clinical examination showed multiple skin lesions similar to those in patient 1 [Figure 4]. Slit Lamp examination revealed iris nodules in both eyes.
Figure 4: Café-au-lait spot (case 2)

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Magnetic Resonance Imaging (MRI) brain done [Figure 5] on her showed:
Figure 5: Magnetic resonance imaging of the brain and orbit (case 2)

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4. What the MRI was suggestive of

5. What are the criteria for diagnosing this medical condition



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    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]



 

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