Celiac Disease Presenting as Acute Unilateral Blindness

Abstract

Introduction: Celiac disease (CD) is an autoimmune condition affecting the small intestine, triggered by the ingestion of gluten, the protein fraction of wheat, barley, and rye. When patient with celiac disease ingest gluten, an immunologically mediated inflammatory response occurs that damages the mucosa of their intestines, resulting in malabsorption of food nutrients. Apart from gastrointestinal symptoms, celiac disease has extraintestinal symptoms like anemia, osteopenia, motor weakness, ataxia, seizures, peripheral neuropathy, dermatitis herpetiformis, bleeding diathesis and ophthalmic manifestations like uveitis, cataract, orbital myositis, retinopathy, occipital calcification and rarely optic neuropathy. We are reporting a case of celiac disease who presented as acute loss of vision of left eye. Case report: An eight year old boy presented with painless acute loss of vision of left eye in July 2018 which was preceded by blurring of vision for few hours. There was no history of fever, rashes, vomiting, diarrhea, constipation, seizures or headache. On examination vitals were stable, weight: 18.1 Kg (5-10th centile), Height: 114 cm (5-10th centile). There was pallor on general examination. Systemic