DR. HARSHITA KRISHNA RAVELLA

DR.ATHER MOHAMMED

Abstract

A 10 year old boy from the Department of Dermatology of our hospital was sent for ophthalmic evaluation. He had adenoma sebaceum on face, pitted teeth and history of epilepsy .Ophthalmic examination was done by Snellen’s chart, Slit lamp, Fundus examination by 90D lens and Indirect Ophthalmoscope. Cycloplegic refraction was done using 1% Atropine eye ointment. Anterior Segment was normal. Posterior Segment of right eye showed two transparent smooth surfaced round slightly elevated lesions overlying on inferior temporal arcade and similar single lesion over inferior temporal arcade in left eye. Chorioretinal atrophy in right eye inferior to macula. The patient is diagnosed as tuberous sclerosis complex based on the above findings. BCVA is 6/6 and progression of retinal lesions is very rare, therefore ophthalmological intervention is not required. Patient was asked to come for follow up every 3 months as he was on antiepileptic drugs or if there is diminution of vision.