Rare Eye Findings in a Case of Sotos Syndrome

Abstract

Objective: To report uncommon eye findings in a case of Soto's Syndrome. Method: Case reportResults: A 10-year-old girl with underlying Soto syndrome under multidisciplinary care presented with a history of bilateral, painless and progressive blurring of vision for 1 year. On examination, she had accelerated linear growth, dysmorphicfacies, macrodolichocephaly, hypertelorism and cognitive impairment. Anterior segment examination revealed bilateral anterior polar cataract and bilateral keratoconus. Conclusion:What this case highlights is that in addition to the classic features of Soto's syndrome, we found two rare ocular associations in this patient;-_namely, polar cataract and keratoconus. These new additions to the constellation of ocular manifestations of Sotos syndrome serve as a reminder that an ophthalmological evaluation should be a part of the basic workup of children with Sotos syndrome.