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 Table of Contents    
CLINICAL QUIZ
Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 73  

A case of absent foveal reflex


Department of Vitreoretina, SB Dr. Sohan Singh Eye Hospital, Amritsar, Punjab, India

Date of Web Publication23-Jan-2015

Correspondence Address:
Bodhraj Dhawan
Department of Vitreoretina, SB Dr. Sohan Singh Eye Hospital, Amritsar, Punjab - 440 025
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.149898

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How to cite this article:
Dhawan B. A case of absent foveal reflex. Oman J Ophthalmol 2015;8:73

How to cite this URL:
Dhawan B. A case of absent foveal reflex. Oman J Ophthalmol [serial online] 2015 [cited 2019 Nov 20];8:73. Available from: http://www.ojoonline.org/text.asp?2015/8/1/73/149898


   Case Report Top


A 12-year-old male presented us with the painless, progressive diminution of vision in both eyes of last 4-5 years duration which was associated with photophobia, and involuntary eye movements. There was no family history of similar complaints. Best-corrected visual acuity in both eyes was 20/200. Pendular nystagmus and alternating esotropia of 30΀ was noted. Anterior and posterior segment pictures are attached [Figure 1], [Figure 2] and [Figure 3].
Figure 1: Slit lamp photograph of the left eye

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Figure 2: Slit lamp photograph of the left eye in retroillumination

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Figure 3: Fundus photograph of the left eye

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Spectral domain optical coherence tomography (SD-OCT) through foveal center is shown in [Figure 4], the findings were similar in both eyes.
Figure 4: Spectral domain optical coherence tomography of the left eye through fovea

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   Questions Top


  1. Describe the findings in the anterior segment and fundus seen in [Figure 1], [Figure 2] and [Figure 3]. What are OCT features in [Figure 4]? What is this condition called? How is it graded according to the severity?
  2. What is the most likely diagnosis?
  3. Mention some tests by which diagnosis may be confirmed?




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   References Top

1.
Thomas MG, Kumar A, Mohammad S, Proudlock FA, Engle EC, Andrews C, et al. Structural grading of foveal hypoplasia using spectral-domain optical coherence tomography a predictor of visual acuity? Ophthalmology 2011;118:1653-60.  Back to cited text no. 1
    


    Figures

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



 

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