|Year : 2013 | Volume
| Issue : 2 | Page : 131
Infant with visual inattention and nystagmus
Rayah AL-Hajri1, Anuradha Ganesh2
1 Ophthalmology Resident under Oman Medical Specialty Board, Al-khod, Muscat, Sultanate of Oman, Oman
2 Department of Ophthalmology, Sultan Qaboos University hospital, Al-khod, Muscat, Sultanate of Oman, Oman
|Date of Web Publication||19-Aug-2013|
Sultan Qaboos University PCED, P. O. Box 33, Postal code 123 , Muscat
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
AL-Hajri R, Ganesh A. Infant with visual inattention and nystagmus. Oman J Ophthalmol 2013;6:131
An 8-month-old baby was brought by his parents to the clinic with presenting complaints of white spot in the pupil of left eye noticed since the age of 2 months. They also felt that he had poor vision in both eyes (left more than the right). The baby was born at term by cesarean section. There is a positive family history of poor vision due to a 'retinal disorder' in a second degree relative. The details are not known. Our examination showed visual acuity as follows: right eye following large objects, left eye no fixation or following. Horizontal, symmetrical, pendular nystagmus was present. Examinations under anesthesia showed bilateral microcornea and microphthalmos. [Figure 1] shows anterior segment of the left eye and [Figure 2] shows posterior segment of the right eye. There was no red reflex and view of the fundus in the left eye due to leukocoria.
| Questions|| |
- Describe the findings of posterior segment of the right eye [Figure 2] and [Figure 3]?
- What is the differential diagnosis?
- What further investigations are required to arrive at the diagnosis?
[Figure 1], [Figure 2], [Figure 3]