EPOS

European Paediatric Ophthalmological Society

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BILATERAL PETERS ANOMALY, FAILURE TO THRIVE AND PRIMARY HYPOALDOSTERONISM.

Hong , J., Faria, P., Campos, S., Silva, E., Quadrado, M.J., Murta, J.N.

Dept. of Pediatric Ophthalmology, University of Coimbra, Portugal.

One month-old white male, first child of a non-consanguineous marriage, was sent for ophthalmological evaluation. He presented a bilateral anterior segment dysgenesis associated with failure to thrive. Eye examination revealed paracentral corneal clouding, shallow anterior chamber, corectopia, inferior iris coloboma and cataract (right eye); central corneal opacity, decentered pupil and cataract (left eye). Cataract surgery was performed bilaterally.
The baby developed fever, dehydration and weight loss during his second time admitted in our department. He was transferred to the Children's Hospital, where a diagnosis of primary hypoaldosteronism with hyponatremia, high potassium and compensated metabolic acidosis, was reached. He is now on replacement therapy.
This is a rare association of Peters anomaly and primary hypoaldosteronism.