Septo-Optic Dysplasia (Sod) Or De Morsiers’S Syndrome: A Case Report

Objective: The aim is to emphasize the importance of including

SOD in the differential diagnosis of young patients, presenting with strabismus, especially if very low vision is docu-
mented in one or both eyes.

Speciality Eye Hospital Svjetlost Sarajevo

report: In this case, a 13-year-old male presented to our institution with a complaint

of deviating left eye outwards in the last few years. During the examination, left eye exotropia, as well as low visual
acuity (light perception) of the left eye were documented. The findings of the right eye were normal and visual acuity
was 1.0. Magnetic resonance imaging, optical coherence tomography, and fundus photography revealed optic nerve,
brain midline, and retinal abnormalities. The patient was diagnosed as having SOD with optic nerve hypoplasia, septum
pellucidum agenesis, and hypothalamic-pituitary axis hypoplasia.

Conclusion: Although SOD is not curable, many
aspects of this syndrome can be improved through a multidisciplinary approach consisting of hormonal replacement,
corrective ophthalmological surgery, as well as neuropsychological treatment, and support if necessary.