Abstract

Objective : To report uncommon eye findings in a case of Soto’s Syndrome. Method: Case report Results : A 10-year-old girl with underlying Soto syndrome under multidisciplinary care presented with a history of bilateral, painless and progressive blurring of vision for 1 year. On examination, she had accelerated linear growth, dysmorphicfacies, macrodolichocephaly, hypertelorism and cognitive impairment. Anterior segment examination revealed bilateral anterior polar cataract and bilateral keratoconus. Conclusion : What this case highlights is that in addition to the classic features of Soto’s syndrome, we found two rare ocular associations in this patient;-_namely, polar cataract and keratoconus. These new additions to the constellation of ocular manifestations of Sotos syndrome serve as a reminder that an ophthalmological evaluation should be a part of the basic workup of children with Sotos syndrome.

Highlights

  • Soto’s syndrome as first described in 1964 by Soto et al (1965)

  • What this case highlights is that in addition to the classic features of Soto’s syndrome, we found two rare ocular associations in this patient;-_namely, polar cataract and keratoconus

  • These new additions to the constellation of ocular manifestations of Sotos syndrome serve as a reminder that an ophthalmological evaluation should be a part of the basic workup of children with Sotos syndrome

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Summary

Results

A 10-year-old girl with underlying Soto syndrome under multidisciplinary care presented with a history of bilateral, painless and progressive blurring of vision for 1 year. On examination, she had accelerated linear growth, dysmorphicfacies, macrodolichocephaly, hypertelorism and cognitive impairment. Anterior segment examination revealed bilateral anterior polar cataract and bilateral keratoconus

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