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 Table of Contents    
CLINICAL QUIZ
Year : 2013  |  Volume : 6  |  Issue : 2  |  Page : 131  

Infant with visual inattention and nystagmus


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 Publication19-Aug-2013

Correspondence Address:
Rayah AL-Hajri
Sultan Qaboos University PCED, P. O. Box 33, Postal code 123 , Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.116662

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How to cite this article:
AL-Hajri R, Ganesh A. Infant with visual inattention and nystagmus. Oman J Ophthalmol 2013;6:131

How to cite this URL:
AL-Hajri R, Ganesh A. Infant with visual inattention and nystagmus. Oman J Ophthalmol [serial online] 2013 [cited 2020 Oct 29];6:131. Available from: https://www.ojoonline.org/text.asp?2013/6/2/131/116662

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.
Figure 1: Left eye anterior segment

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   Questions Top


  1. Describe the findings of posterior segment of the right eye [Figure 2] and [Figure 3]?
  2. What is the differential diagnosis?
  3. What further investigations are required to arrive at the diagnosis?
Figure 2: Right eye fundus photograph

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Figure 3: Gray scale B-scan of the right eye

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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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