BILATERAL PRIMARY OPTIC ATROPHY IN A PATIENT WITH HYDROCEPHALUS – A RARE CASE

Abstract

Objective – To report the rare ophthalmological ndings in a patient diagnosed with hydrocephalus Material And Methods – We report the case of a 2yr old female child who presented with hydrocephalus. CT Brain was done which was suggestive of gross dilatation of both the lateral ventricles and fourth ventricle and thinning of the cortex was seen. A detailed ophthalmological evaluation was done which showed reduced ocular motility, lagophthalmos and right esotropia. Fundus examination showed bilateral primary optic atrophy with blurred margins of the optic disc. The Results – clinical history, detailed ophthalmological examination and investigations suggest that hydrocephalus and thinning of the cortex led to retrograde optic atrophy in this patient. Hydrocephalus and thinning of the cort Conclusion – ex led to retrograde optic atrophy. Due to high degree of thinning of the occipital lobe caused by hydrocephalus, we do not expect the patient's visual functions to develop in future. Awareness regarding consequences of untreated cases of hydrocephalus and screening for ophthalmological signs is important. Timely intervention can prevent progression of the disease and lead to improved quality of life in such patients.