DR BHARAT GURNANI

DR. KIRANDEEP KAUR, DR.SHIVANANDA NARAYANA

Abstract

Aim -To report the first case of a 19-year-old child with Down’s and hypothyroidism with bilateral advanced keratoconus, congenital cerulean blue dot cataract, and acute corneal hydrops.Methods- A 19-year-old boy with Downs was referred to us with a 10-day history of pain, watering, photophobia, and defective vision in LE, the informant being the father. The best-corrected visual acuity in the right eye (RE) was 5/60 and in LE was hand movements. Results- Ocular examination in RE revealed Fleischer’s ring, conical protrusion of cornea with blue dot cataract and LE examination revealed conical protrusion of cornea, epithelial bullae, diffuse stromal edema, and break in DM suggestive of acute corneal hydrops. Pentacam in RE revealed advanced keratoconus. LE Pentacam was deferred. The patient was managed conservatively. Conclusion-This is a rare case of both genetic and endocrine disease contributing to the acute ocular insult. Managing such cases required a multidisciplinary approach.