Delhi Journal of Ophthalmology

Oculodigital phenomenon leading to advanced keratoconus in Retinopathy of Prematurity – A case report

Devesh Kumawat, Pranita Sahay, Siddhi Goel, Vinod Kumar, Parijat Chandra
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.

Corresponding Author:

Pranita Sahay
MD DNB, FICO, FAICO (Ref SX.), FICO (Cornea)
Dr. Rajendra Prasad Centre for Ophthalmic
Sciences, All India Institute of Medical
Sciences, New Delhi, India
Email id:

Received: 23-MAY-2019 Accepted: 10-JUL-2019 Published Online: 24-DEC-2019

A 14-year-old male child presented with complaints of poor vision in both eyes since infancy. The child had a history of preterm delivery, neonatal intensive care unit stay, and oxygen supplementation. He was diagnosed to have cicatricial Retinopathy of Prematurity [ROP]. Keratoconus was evident in both eyes, along with oculodigital sign and enophthalmos. This case highlights the grave sequelae of untreated ROP and its complications. A varied presentation of ROP is to be borne in mind when evaluating such patients later in life. Oculodigital sign can further compromise the vision in such cases due to associated keratoconus, cataract, and retinal detachment.

Keywords :Retinopathy of prematurity, Cicatricial ROP, Keratoconus in ROP, Oculodigital phenomenon