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A single patient with multiple ophthalmic findings: High hyperopia

Poster Details

First Author: F.Sammouh LEBANON

Co Author(s):    T. Baban   E. Warrak           

Abstract Details


To report a single case with multiple ophthalmic findings: high hyperopia, keratoconus, nanophthalmos, lipodermoids, extraocular muscle fibrosis and retinal spicules


Advanced Eye Care Hospital, Naccach , Lebanon


A male patient (44 years old) with no pertinent history other than poor vision was examined. Best corrected visual acuity was 20/80 OD [MR: +14.25 (+1.00x15°)] and 20/200 OS [MR: +15.00 (+1.50x175°)]. Significant limitation in ocular movements and the presence of a lipodermoid in the infero-temporal aspect of both eyes were noted. Forced duction test was positive for the same directions of limitation indicating extraocular muscle fibrosis. Fundoscopy was remarkable for sparse peripheral spicules. Corneal topography was compatible with keratoconus (Kmax= 55.04D OD and 52.87D OS) with normal corneal thickness (thinnest locations measuring 556µm OD and 525µm OS). A-scan revealed nanophthalmos with axial lengths of 16.96mm OD and 16.32mm OS. OCT scan showed diffuse macular thickening for both eyes with foveal thickness of 350µm OD and 353µm OS. Over 12 years follow up; the patient had stable visual acuity, manifest refractions and anterior segment exam. Fundoscopy revealed only minimal progression of pigmentary changes. We report the first case of these simultaneous multiple findings which may refer to a possible syndromic association of congenital or early childhood manifestations.


To our knowledge, we report the first case of these multiple findings simultaneously in a single patient. Our case may refer to a possible syndromic association of congenital or early childhood manifestations.



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