Author:
Hamal Diwa,Kafle Prerna Arjyal,Poudyal Prija,Saiju Rohit,KC Hony,Kafle Santosh
Abstract
Microphthalmos results from incomplete invagination of the optic vesicle or closure of theembryonic fissure. We present three patients with unilateral congenital microphthalmia withcyst. None of them had vision in the affected eye since birth, with gradually increasingmass encroaching towards lower fornix and lower eyelid ectropion. On examination andinvestigations, patients had large orbital cyst with microphthalmia pushing the eyeball superiorlyand posteriorly in affected orbit. Microphthalmic globe with cyst was surgically excised andhistopathologically studied. Orbital cavity was big enough to occupy the conformer and theprosthetic eye after 6 weeks. Diagnosis was confirmed by large communicating orbital cyst withmicrophthalmia without systemic association in all the patients. None of the mothers of patientshad (antenatal care) ANC check up. All the parents had consanguineous marriage. ANC checkup with ultrasound at 14-16 weeks of pregnancy is important for genetic counselling.
Publisher
Journal of Nepal Medical Association (JNMA)
Cited by
4 articles.
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