Congenital Microphthalmia with Orbital Cyst: A Case Series

  • Diwa Hamal Department of Oculoplasty, Biratnagar Eye Hospital, Biratnagar Nepal
  • Prerna Arjyal Kafle Department of Oculoplasty, Biratnagar Eye Hospital, Biratnagar Nepal
  • Prija Poudyal Department of Laboratory Medicine, Biratnagar Eye Hospital, Biratnagar Nepal
  • Rohit Saiju Department of Oculoplasty, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal
  • Hony KC Department of Oculoplasty, Biratnagar Eye Hospital, Biratnagar Nepal
  • Santosh kafle Department of Laboratory Medicine, Biratnagar Eye Hospital, Biratnagar Nepal
Keywords: congenital anomaly; cyst; eye; microphthalmos.

Abstract

Microphthalmos results from incomplete invagination of the optic vesicle or closure of the
embryonic fissure. We present three patients with unilateral congenital microphthalmia with
cyst. None of them had vision in the affected eye since birth, with gradually increasing
mass encroaching towards lower fornix and lower eyelid ectropion. On examination and
investigations, patients had large orbital cyst with microphthalmia pushing the eyeball superiorly
and posteriorly in affected orbit. Microphthalmic globe with cyst was surgically excised and
histopathologically studied. Orbital cavity was big enough to occupy the conformer and the
prosthetic eye after 6 weeks. Diagnosis was confirmed by large communicating orbital cyst with
microphthalmia without systemic association in all the patients. None of the mothers of patients
had (antenatal care) ANC check up. All the parents had consanguineous marriage. ANC check
up with ultrasound at 14-16 weeks of pregnancy is important for genetic counselling. 

Published
2019-06-30
How to Cite
Hamal, D., Kafle, P., Poudyal, P., Saiju, R., KC, H., & kafle, S. (2019). Congenital Microphthalmia with Orbital Cyst: A Case Series. Journal of Nepal Medical Association, 57(217). https://doi.org/10.31729/jnma.4473
Section
Case Reports