DR. NAILA AFTAB

Dr. Prateek Nishant, DR. AMIT RAJ

Abstract

A 19-year old male with history of recent laser in-situ keratomilieusis for axial myopia of –7.00DSph was referred to our tertiary hospital for evaluation of bilateral cataracts. Unaided visual acuity was 6/7.5 in both eyes, with normal ocular motility, well-apposed LASIK flaps, bilateral sutural and blue-dot cataracts, myopic fundi with no peripheral lesions and temporal pallor of both optic discs. Visual field testing showed left-sided homonymous hemianopia, sparing of central visual fields, relatively spared right macula and left inferotemporal quadrantic macular field defect. The patient revealed occasional difficulty in walking and history of falling down twice in the past 6 months. Non-contrast computed tomography of head showed ventriculomegaly, moderate hydrocephalus, mega cisterna magna and high attachment of tentorium cerebelli suggestive of Dandy-Walker malformation. He underwent ventriculoperitoneal shunting two years later due to worsening gait instability and weakness.