DR. AARSHI NAHARWAL

DR. VINITA GUPTA, Dr. LUTHRA SAURABH, DR. PALLAVI SHARMA

Abstract

Ocular manifestations of Congenital Rubella Syndrome (CRS) include cataracts, iris hypoplasia, microphthalmos, corneal opacity, glaucoma, pigmentary retinopathy, dacryostenosis, optic atrophy, strabismus and nystagmus. We describe here a case of a 4-year-old with CRS who presented with bilateral total cataracts with ocular hypertension (23mm of Hg) and axial myopia (28.85 mm) in right eye and retinal detachment with hypotony (6mm of Hg) in left eye. There was associated mild microcephaly with patent ductus arteriosus and mild pulmonary arterial hypertension. During cataract surgery for right eye, lens coloboma was noted in the temporal lens equator. Primary lensectomy with secondary scleral fixation of IOL was done. Fundus examination in the operated eye showed tigroid fundus with likely rubella retinopathy and optic disc cupping. Ours is the first reported case of lens coloboma in CRS which has been described previously in other systemic conditions like Marfan’s and Marshall syndrome