An 8-Year-Old Girl With Progressively Worsening Blurry Vision

Isi Esquenazi; Kimberly G. Yen, MD


October 31, 2013

Clinical Presentation

An 8-year-old girl presented to the pediatric ophthalmology clinic complaining of many months of blurry vision that had been progressively getting worse. She had never worn glasses before and this was her first baseline eye examination.

She recently moved to the United States from another country. Her mother was not aware of any health problems and stated that the child was developmentally normal.

On ocular examination, visual acuity was 20/100 in the right eye and 20/200 in the left eye. Her pupils were reactive bilaterally with no afferent pupillary defect. Motility examination was normal. Slit lamp examination revealed lens subluxation (Figure ). Fundus examination was normal. Cycloplegic refraction was -13.50+5.50 x 85 in the right eye and -15.00+3.00 x 85 in the left eye.

Figure. Photograph of a subluxated lens in the patient's left eye.


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