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Letter to the Editor
Idiopathic keratoconus in a patient with congenital rubella syndrome
  1. ANTONIO PINNA,
  2. FRANCESCO CARTA
  1. Institute of Ophthalmology, University of Sassari, Sassari, Italy
  1. Dr Antonio Pinna, Istituto di Clinica Oculistica, Universita degli Studi di Sassari, Viale San Pietro 43 A, 07100 Sassari, Italy.

https://doi.org/10.1136/bjo.82.10.1215

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    Editor,—Keratoconus is very rarely found in patients with congenital rubella syndrome (CRS). The only known aetiology of keratoconus associated with CRS is eye rubbing.1 We report here a patient with CRS who developed idiopathic keratoconus.

    CASE REPORT

    A 24 year old woman with CRS was examined for progressive visual blurring of 2 years’ duration in her left eye. The diagnosis of CRS was based on the maternal history of rash and fever in the first trimester of pregnancy, cataract, and microphthalmia in the right eye, bilateral rubella retinopathy, nystagmus, deafness, congenital heart disease.

    Available medical records dated from the time she was 1 year old. At that time, extracapsular cataract surgery was performed in the right eye. She had esotropia in the right eye and poor fixation. …

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