Open AccessOphthalmological Finding in the Patient with Lowe Syndrome
Author(s) -
Dana Tomčíková,
A Gerinec,
Vladimı́r Bzdúch,
Vladimír Krásnik,
Beáta Bušányová,
Katarína Brennerová
Publication year - 2018
Publication title -
česká a slovenská oftalmologie
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.178
H-Index - 11
eISSN - 1805-4447
pISSN - 1211-9059
DOI - 10.31348/2018/1/4-3-2018
Subject(s) - medicine , physical examination , neurological examination , nystagmus , pediatrics , etiology , eye examination , hypotonia , surgery , visual acuity , psychiatry
The authors present the ophthamological finding in a patient who at the age of 4.5 months was admitted due to a finding of total bilateral congenital cataract. The patient was observed by a neurologist for central hypotonia and mental retardation. Upon a complex examination of the patient, suspicion of Lowe syndrome was stated, which was confirmed by a metabolic examination and also by genetic tests. Upon an examination of the family, a genetic defect (mutation of OCRL1 gene) was confirmed also in the mother of the patient. A mild subcapsular opacification was present in the mother, beneath the posterior capsule. The patient was operated on for bilateral congenital cataract. Upon an examination under general anaesthesia, trabeculodysgenesis was diagnosed. Intraocular pressure remains within the norm. The patient is now aged 8 years, regularly monitored with regard to metabolic compensation, and by a neurologist and ophthalmologist, with satisfactory visual functions. Early diagnosis of the Lowe syndrome was determined on the basis of a complex examination of the patient within the framework of etiological diagnosis of bilateral congenital cataract. Key words: Lowe syndrome, oculo - cerebro - renal syndrome, congenital cataract, glaucoma, nystagmus.