DR. DURGA SUBHA KEERTHI PATIBANDA

Dr. LAALITHYA DASARI, Dr.Yerramilli Sriniwas, Dr. RAMESH KUMAR GOLKONDA SATYAPRAKASAM

Abstract

A 21 yr Male,child of consanguinous marraige,presented with Gradual,painless diminution of vision in both eyes since 5yrs.No associated headache, diplopia, seizures, abnormal movements,loss of consciousness nor had any family history,substance abuse,head/ocular injury,other neurological complaints.On evaluation-BCVA: RE CF2mt,LE CF3mt; Exodeviation 30deg RE; Dyschromatopsia; Bilateral Significant Temporal Pallor of Optic disc, rest of the retina within normal limits; VEP: P100-RE at 131ms, LE at 134ms; Humphreys Visual fields: Relative depression of Centrocaecal areas in Both eyes, RE>LE;MRI BRAIN REPORT by Radiologist:Thickness of B/L Optic nerves 3mm,Suggestive of B/L Optic Atrophy; Serum B12 & Folic acid levels within normal limits.Taking into consideration all the above positive findings in history and examination,probable diagnosis of LEBERS HEREDITARY OPTIC NEUROPATHY was taken ,excluding Dominant,Nutritional &Toxic Optic Atrophy,& pt advised for genetic testing,reports awaited.