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Isolated congenital anophthalmia and microphthalmia: about 3 observations

Poster Details

First Author: A.Kougou Ntoutoume MOROCCO

Co Author(s):    S. Mekyna   S. Assila   A. Amazouzi   O. Cherkaoui   .         

Abstract Details

Purpose:

Isolated congenital anophthalmia and microphthalmia (A / M) are rare and serious diseases that are responsible for major visual impairment and abnormal orbito-facial growth. They can be united or bilateral, of hereditary origin or not, isolated or associated with other ocular or systemic anomalies. Through three observations, we discuss the epidemiological, diagnostic and therapeutic aspects of isolated congenital A / M.

Setting:

Ophtalmology Unit A, Hopital des Spécialités Mohammed V University in Rabat, Morocco

Methods:

We looked for a notion of inbreeding and personal and family antecedents. An ophthalmological, pediatric and general examination was performed as well as an orbitocerebral CT scan.

Results:

Case 1: A 4-week-old male infant, born at term, presents closed eyes from birth. The examination revealed a closed palpebral slit and an absence of the reliefs of the eyeballs. Computed tomography highlights an absence of individualization of the eyeballs and agenesis of the two optic nerves in favor of bilateral anophthalmia. Case 2,3: A 7-year-old girl and her 27-year-old mother each consult for unilateral blindness that develops from birth. The examination of the girl notes an absence of light perception, a microblepharon and a microphthalmia on the right. The mother has no light perception and left unilateral microphthalmia.

Conclusions:

Isolated congenital anophthalmia and microphthalmia are potentially blinding conditions due to genetic or environmental factors. They can be diagnosed before birth. In severe cases, therapeutic management must be early and focused on aesthetic and psychological aspects.

Financial Disclosure:

None

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