DR. PIYUSHI SAO

Dr.Sunil Biradar

Abstract

INTRODUCTION: Warburg Micro Syndrome is rare genetic disorder with less than 100 reported cases and only two previous cases from India. A 1-year old female child born of 2nd degree consanguineous marriage presented with white reflex in both eyes.

GENERAL EXAMINATION: Microcephaly, facial dysmorphism, global developmental delay and spastic quadriplegia.

OCULAR EXAMINATION: Bilateral congenital cataract with microcornea and miotic non dilating pupil. B scan of both eyes were normal; optic atrophy couldn’t be ruled out due to lenticular opacity.

INVESTIGATION: Serum testing revealed TORCH negative. MRI brain showed bilateral frontal and parietal polymicrogyria.

TREATMENT: Child underwent pars plana lensectomy under general anaesthesia.

CONCLUSION: Ophthalmologists play a crucial role in diagnosis of such rare cases as the presenting complaint is a white reflex; early diagnosis in such cases help in prevention of amblyopia.