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Atopic Dermatitis Leading to Blindness: A Frequently Forgotten Sequelae
Mohd Khairrudin M Mohd Sobri1, Mae-Lynn Catherine Bastion2,3, Chenshen Lam3
1Opthalmology, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Abstract:
A 12-year-old boy with underlying severeand poorly controlled atopic dermatitis (AD) associated with atopic conjunctivitis and rhinitis presented with a right painless blurring of vision for two weeks. On examination, his right eye visual acuity was 1/60,with grade 1 relative afferent pupillary defect (RAPD). Anterior segment examination revealed anterior uveitis with dense posterior subcapsular cataract and hazy fundus view. B-scan ultrasound suggested a shallow total retinal detachment. Intraoperatively, a large retinal dialysis was found. This paper highlights the need for a high index of suspicion of retinal dialysis in a child with underlying AD and the importance of good control of this systemic condition to prevent ocular morbidity.
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