10-year-old presents to hospital with retinal detachment

Indian clinicians have described their treatment of a patient with severe early childhood onset retinal dystrophy.

Writing in BMJ Case Reports, the authors note that a 10-year-old boy presented to a New Delhi hospital complaining of blurred vision.

Clinicians determined that his visual acuity was limited to hand motions in his left eye and 2/60 in his right eye.

A dilated fundus examination of the right eye revealed an an isolated macular coloboma, while the left eye had a total retinal detachment alongside a macular coloboma.

Following a diagnosis of severe early childhood onset retinal dystrophy, the young patient received vitreoretinal surgery on his left eye. Two rows of laser photocoagulation were performed.

Three weeks after treatment visual acuity was 1/60 in the left eye.

The authors recommended periodic surveillance of patients with severe early childhood onset retinal dystrophy.

“Complications can occur during follow-up and may need urgent management,” they highlighted.

Image credit: BMJ Case Reports