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 Table of Contents    
CLINICAL QUIZ
Year : 2021  |  Volume : 14  |  Issue : 2  |  Page : 128-130  

A 10-year-old boy with dystonia, expression-less facies, and tremors referred for ophthalmic examination


Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Date of Submission31-Dec-2017
Date of Decision21-Feb-2018
Date of Acceptance23-Apr-2020
Date of Web Publication28-Jun-2021

Correspondence Address:
Dr. Koushik Tripathy
Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_262_2017

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How to cite this article:
Tripathy K, Tomar AS, Sidhu T, Dada T. A 10-year-old boy with dystonia, expression-less facies, and tremors referred for ophthalmic examination. Oman J Ophthalmol 2021;14:128-30

How to cite this URL:
Tripathy K, Tomar AS, Sidhu T, Dada T. A 10-year-old boy with dystonia, expression-less facies, and tremors referred for ophthalmic examination. Oman J Ophthalmol [serial online] 2021 [cited 2021 Nov 27];14:128-30. Available from: https://www.ojoonline.org/text.asp?2021/14/2/128/319484



A 10-year-old boy presented to the pediatric department with an inability to walk without help for 1 month and an abnormal posture of the right upper limb for 6 months. Systemic findings included coarse tremor and dystonia of the right upper limb with choreoathetoid movements of the left upper limb. He had an expression-less facies and cognitive decline. He was referred for ophthalmic examination. Slit-lamp photographs of the anterior segment of both eyes are depicted in [Figure 1]. The fundus was normal in either eye.
Figure 1: The anterior segment findings of the patient

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   Questions Top


  1. Describe the findings in [Figure 1]
  2. What ophthalmic examination will help in confirmation of the clinical finding?






[

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   References Top

1.
Suvarna JC. Kayser–Fleischer ring. J Postgrad Med 2008;54:238-40.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Lössner A, Lössner J, Bachmann H, Zotter J. The Kayser-Fleischer ring during long-term treatment in Wilson's disease (hepatolenticular degeneration). A follow-up study. Graefes Arch Clin Exp Ophthalmol 1986;224:152-5.  Back to cited text no. 2
    
3.
Tripathy K, Chawla R, Mittal K, Farmania R, Venkatesh P, Gulati S. Ophthalmic examination as a means to diagnose Subacute Sclerosing Panencephalitis: An optical coherence tomography and ultrawide field imaging evaluation. Eye Vis (Lond) 2017;4:1.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]OmanJOphthalmol_2021_14_2_128_319484_f2.jpg, [Figure 3]OmanJOphthalmol_2021_14_2_128_319484_f3.jpg



 

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