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BRIEF COMMUNICATION
Year : 2017  |  Volume : 65  |  Issue : 10  |  Page : 1053-1055

Management of idiopathic intracranial hypertension in an infant with bilateral congenital cataract and associated comitant sensory esotropia


1 Department of Paediatric Ophthalmology and Strabismus , Narayana Nethralaya, Bengaluru, Karnataka, India
2 Department of Paediatric Neurology, Mazumdar Shaw Multispeciality Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Jyoti Himanshu Matalia
Department of Paediatric Ophthalmology and Strabismus, Narayana Nethralaya-2, Narayana Health City 258/A, Bommasandra, Hosur Road, Bengaluru - 560 099, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_345_17

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In this report, we describe the management of a child with bilateral cataract, nystagmus, and comitant sensory esotropia. Routine ultrasonography done before cataract surgery revealed bilateral disc edema confirmed as idiopathic intracranial hypertension by a pediatric neurologist. The primary intervention for cataract surgery was followed by nonresolving papilledema, despite maximum medical therapy. To salvage the optic nerve function in a nonverbal child, bilateral optic nerve sheath decompression was planned with simultaneous medial rectus recessions for the persistent esotropia with the satisfactory postoperative outcome.


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