Journal of Clinical and Biomedical Sciences
Year: 2015, Volume: 5, Issue: 1, Pages: 39-41
Case Report
Karishma P Shah*1, Sujatha V2, S Pandu3
1.Post Graduate
2. Associate Professor
3. Professor & Head Dept. of Ophthalmology, MVJ Medical College & Research Hospital, Hoskote, Bangalore, Karnataka, India
*Corresponding Author
Email: [email protected]
An eight year old female child was admitted with history of four episodes of partial seizures since one day, reddish brown papular rashes over malar region of face and chin in a butterfly pattern suggestive of adenoma sebaceum, hypo pigmented macules on the trunk of ash leaf spots type and diminution of vision in left eye since 5 years. On slit lamp examination of the left eye an iris coloboma and cataractous lens was found. Fundus examination of the right eye showed an edematous disc and a retinal astrocytoma in the superonasal quadrant. A diagnosis of tuberous sclerosis (TS) was made. Retinal and optic nerve involvement in TS are well known today with approximately 50% manifesting with retinal hamartomas. Unusual findings reported are band keratopathy, keratoconus and cataract. A review of the literature indicates that although in some cases, cataract is attributable to local ocular disease, or congenital causes, it may be a rare manifestation of TS.
Key words: tuberous sclerosis, cataract
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