An Unusual Cause of Optic Atrophy in Childhood
Journal Title: Ophthalmology and Vision Science - Year 2017, Vol 1, Issue 3
Abstract
Purpose: To report a rare and interesting cause of bilateral optic atrophy secondary to hemolytic uremic syndrome (HUS). Case Report: A 6-year-old asymptomatic child was referred with bilateral pale optic discs. She was otherwise healthy, with no known family history of any eye problems. On detailed questioning, it was revealed that she had HUS secondary to E. coli diarrheal infection at the age of 2.5 years, with renal failure that necessitated treatment with dialysis. Retinal nerve fiber analysis confirmed poor reserves with fewer axons in both eyes. The patient was followed up and discharged when there were no signs of progression. Conclusion: Ocular involvement in HUS although rare, depicts a severe form of HUS, and may develop as sequelae to ischemic or toxic insults. Ophthalmology referral is required especially in preverbal patients with HUS to exclude potential vision-endangering consequences.
Authors and Affiliations
Andrew Blaikie, V Swetha E Jeganathan, Ala Noaman
Keywords
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