An 8-month-old was presented to a pediatric ophthalmologist by his parent for observing white opacities in both eyes and ‘shaky’ eye since 4 months of age. Examination The child had wandering eye movement with bilateral central, dense, white, nuclear congenital cataracts (as indicated in the image), bilateral micro-cornea (corneal diameter in each eye being 10mm), bilateral microphthalmia (axial length of each eye, 17 mm), and nystagmus. Fundus examination revealed a normal optic disk with a salt-and-pepper appearance of the retina due to the distribution of areas of increased and decreased pigmentation (2nd image). Serum IgM and IgG antibodies were positive for rubella. The mother had not been vaccinated for rubella vaccine.
What is the most likely diagnosis in this case? How would you manage this patient? *This case is from Docplexus editorial team for education purpose only. Source:…
