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PMC4065758_02
The karyotype of 46,XX, r(15) pattern.
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fig1
Parental karyotype is normal and according to the parents, the karyotype anomaly was classified as de novo (Figure 1).
(a) Dysmorphic features of the patient, big exotropia. (b) Fifth finger clinodactyly.
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A detailed examination revealed several dysmorphic features: hypertelorism, high-broad nasal bridge, short hands and feet, and divergent strabismus (Figures 2(a) and 2(b)).
Facial features at age 8 years. Result of ophthalmological treatment: parallel position of the eyeball with final correction OD 5PD, OS 5PD.
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fig3
In this case study, the final correction OD 5PD, OS 5PD led to achievement of normal single binocular vision and improvement of visual acuity (1.0 OD/OS) (Figure 3).