A 20yr old female came for regular eye check up with history of wearing thick glasses since childhood .On examination:multiple hyperpigmented macules present over face,trunk,bilateral upper and lower limbs(similar type of pigmented skin patches were present in mother and brother).Ocular Examination:BCVA BE 5/60 with pin hole 6/6,Anterior segment :Iris showed small multiple hypo-pigmented elevated lesions suggestive of Lisch nodule in both eyes,(RE) iris showed 5 lisch nodules and (LE) showed 3 lisch nodules.IOP and fundus examination was found to be normal in both eyes. Patient was referred to dermatology,was diagnosed as neurofibromatosis type 1 by skin biopsy.She was diagnosed as BE-compound myopic astigmatism.Family screening for Glaucoma done ,advised to come for annual eye checkup.The proper diagnosis of Neurofibramatosis is a crucial task for a clinician. Frequent follow up is needed for early diagnosis and intervention of glaucoma.
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