A 2-month-old female child was referred to an ophthalmologist for the primary complain of “poor fixation.” The right eye of the patient wandered out significantly ever since birth but it improved over time. However, the mother had doubts about the vision of the infant. She was the first-born child of her parents. Her past ocular and medical history was unremarkable.
She had been born full-term and through normal vaginal delivery without any complications. There was no family history of eye disorders. Physical examination: The infant appeared well without any apparent distress Mild telecanthus Inconsistent wincing to light OU Few beats were noted on bundled exam Slit examination: Within normal limit OU Pupils sluggishly reactive OU No RAPD CRx: OD +1.00 +0.50 100; OS +1.00 +0.50 080 Dilated fundus exam showed double ring sign and very small nerves Color fundus photographs of the…
