|Year : 2015 | Volume
| 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 Publication||23-Jan-2015|
Department of Vitreoretina, SB Dr. Sohan Singh Eye Hospital, Amritsar, Punjab - 440 025
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Dhawan B. A case of absent foveal reflex. Oman J Ophthalmol 2015;8:73
| Case Report|| |
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].
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|| |
- 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?
- What is the most likely diagnosis?
- Mention some tests by which diagnosis may be confirmed?
| References|| |
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.
[Figure 1], [Figure 2], [Figure 3], [Figure 4]