Aziz Jan Bashir, Zeeshan Khan Oozeerkhan, Mohamud Walid Peerbux.
Bilateral Optic Nerve Aplasia in a Pre-School Child.
Al-Shifa J Ophthalmol Jan ;14(1):52-6.

A 4-year-old girl was presented to the Vitreoretina OPD of Al-Shifa Trust Eye Hospital with absence of vision since birth. Her pupils were mid-dilated and non-reacting to light. Ultrasonography showed clear vitreous with flat retina in each eye. Examination under anaesthesia revealed no anterior segment abnormalities, but the posterior segment showed absence of optic discs, retinal vasculature with prominence of choroidal vessels. Her cycloplegic refraction was +4.0 D in both eyes. Her OCT showed absence of the retinal ganglion cell layer. A neurological examination was done in a tertiary care hospital and showed normal milestones of development. After adequate consultation, an MRI was not deemed necessary for this child. Her parents were carefully counseled about the condition and she is now on regular 6 monthly follow ups in our Low Vision Clinic.

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