ALFASHER EYE HOSPITAL

Case presentationby:-Dr\ Shawgi Adugory9.2011

الرحيم الرحمن الله بسم

CASE PRESENTATION DR SHAWGI MB BS

01 June 2011, a new-born male baby was referred to the eye dept, from the obstetric unit

In Alfashir Hospital. neonate born with bilateral proptosis

after long labor & difficult forceps delivery .

Abgar score was done to this neonate and is (8/10)

>(Activity (muscle tone)= Active motion=2

>Pulse (heart rate)=88 beats per minute=2

>Grimace (reflex response)= Grimace during suctioning=1

>Appearance (color)= Good color in body with bluish hands & feet=1

>Respiration (breathing) =Good& cry=2

It was noted that the baby was born with severe proptosis.

On Examination : full term pregnancy. Weight 2 kg. Bilateral Severe echymosis. Bilateral severe proptosis . Bilateral dry cornea.

Other Findings: 1. full set of teeth. 2. Rinkled dry skin. 3. Circumcised penis. 4. descended testicles.

abnormal deviation of the fingers

gross teeth

skin folds circumcised penis

Presumed Diagnosis: Intrauterine premature aging with congenital proptosis .

MOTHER’S STORY

A 42 years old female. Iliterate housewife from Alfasher. Para 13. All her deliveries at home with midwife

with no complications There was no history of similar

condition (baby born like her last baby )but have 2 babies died aged 9/12, 3/12 , respectively.

MANAGEMENT

both eyes were washed with ringer lactate drip and then covered by Sterile gauze.

patient was admitted & put hypo tear drops

& ointment. gentamycin and benzyl penciling injections. intravenous fluids were administered

for 5 days .

Liboratory investigation ; Hb%(2 days after admission is 17

g\dl and 22 days later be 12.6 g\dl. Hematological finding platelet

increase (600×103/μl)=thrombocytosis.

First patient suffering from lost breast feeding due to his mother is afraid of him she think that his baby may bite her with his teeth and then he also suffering from difficulty sucking.

During course of admission the patient condition has Improved.

Patient discharge on 12th of July with improve health condition ;his eyes in the orbit but if crying the eyes be outside the orbit and come 2 times for follow up.

Unfortunately one month later from discharge the baby dead because of dehydration (2 day diarrhea & vomiting) on 12th of august 2011.

DUGORY 9@GMA I L . COM