Detailed ophthalmologic evaluation of posterior microphthalmos

We performed various ophthalmic investigations in order to confirm the diagnosis and document the various features of posterior microphthalmos in a 21-year-old male. Ophthalmic examination revealed low vision with high hyperopia, papillomacular folds, midperipheral pigmentary changes and crowded opt...

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Bibliographic Details
Published in:Middle East African journal of ophthalmology 2014-04, Vol.21 (2), p.186-188
Main Authors: Alkin, Zeynep, Ozkaya, Abdullah, Karakucuk, Yalcin, Demirok, Ahmet
Format: Article
Language:English
Subjects:
Case Report
Case studies
Diagnosis
Electroretinography
Eye Diseases, Hereditary - diagnosis
Fluorescein Angiography
Glaucoma
Humans
Hyperopia - diagnosis
Male
Medical imaging
Medical research
Microphthalmos
Microphthalmos - diagnosis
Optic Disk - pathology
Optic nerve
Physiological aspects
Retinitis Pigmentosa - diagnosis
Tomography, Optical Coherence
Vision, Low - diagnosis
Visual Fields
Young Adult
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Summary:We performed various ophthalmic investigations in order to confirm the diagnosis and document the various features of posterior microphthalmos in a 21-year-old male. Ophthalmic examination revealed low vision with high hyperopia, papillomacular folds, midperipheral pigmentary changes and crowded optic discs. The optic discs were small and crowded with increased nerve fiber layer thickness. Fundus fluorescein angiography showed reduced diameter of a capillary free zone. Anterior segment (AS) optical coherence tomography demonstrated near normal anterior chamber depths, but markedly diminished anterior chamber angles. In spite of the increased corneal thickness and steep corneas, lens thickness and endothelial cell counts were normal. Sclerochoroidal thickening and foreshortening of the globes were detected with B-scan ultrasonography. Electroretinographic findings and visual field tests were similar to those in pigmentary retinopathy. Posterior microphthalmos is a complex eye disorder, which affects predominantly the posterior segment but also involves the AS of the eye.
ISSN:0974-9233
0975-1599
0975-1599
0974-9233
DOI:10.4103/0974-9233.129774