Presentation
Complete ophthalmologic examination of three of five siblings presenting with bilateral posterior microphthalmos and papillomacular fold. Optical coherence tomography (OCT) data are presented to confirm the abnormal anatomy. [ncbi.nlm.nih.gov]
We present a rare case of a unilateral large colobomatous cyst associated with a normal-sized globe, giving the appearance of a double globe on imaging. [ijri.org]
Entire Body System
- Asymptomatic
[…] mutation analysis as directed by diagnosis) Follow-up & special considerations • Genetic consultation if systemic abnormalities or developmental delay and if family history or recognized genetic diagnosis • Examine parents for ocular signs and peripheral asymptomatic [entokey.com]
Ocular lesions of VHL are asymptomatic prior to retinal detachment - children known to be at risk for the disease should undergo periodic ophthalmologic evaluation. 18. [slideshare.net]
Some of the affected parents were asymptomatic. [jmg.bmj.com]
- Congestive Heart Failure
In particular, a history of arrhythmias, valvular heart disease, congestive heart failure, coronary artery disease, diabetes, and other vascular diseases is needed. [ncbi.nlm.nih.gov]
Gastrointestinal
- Failure to Thrive
Anophthalmia, microcephaly, hypotonia, hypogonadism, failure to thrive and developmental delay. Dysmorph Clin Genet 1987; 1 :64–6. 8 Harayama K, Amemiya T, Nishimura H. Development of the eyeball during fetal life. [nature.com]
[…] to thrive; ID = intellectual disability; SNHL = sensorineural hearing loss Footnotes: 1. [ncbi.nlm.nih.gov]
Jaw & Teeth
- Prognathism
Microcephaly, microphthalmia, ectrodactyly of lower limbs, and prognathism 0 *Foot Deformities, Congenital *Microcephaly *Microphthalmos *Prognathism. Behrens Baumann Dust syndrome 0 *Cerebellar Diseases *Microphthalmos Optic Nerve/abnormalities. [reference.md]
Colobomatous microphthalmia Congenital absence of nose Congenital ankyloblepharon Congenital atresia of nares Congenital atresia of nasopharynx Congenital atresia of pharynx Congenital hypogonadotropic hypogonadism Congenital hypoplasia of nose Congenital prognathism [icdlist.com]
Eyes
- Retinal Pigmentation
The thickened sclera does not impede the growth of the neuro-retina but seems to influence the development of the choroid and of the retinal pigment epithelium. This may explain the common occurrence of a papillomacular fold in such cases. [ncbi.nlm.nih.gov]
Related symptoms: Strabismus Microphthalmia Glaucoma Abnormality of retinal pigmentation High hypermetropia SOURCES: ORPHANET MENDELIAN More info about NANOPHTHALMIA Medium match MICROPHTHALMIA, ISOLATED 1; MCOP1 Microphthalmia designates a heterogeneous [mendelian.co]
Ocular coloboma may involve the inferonasal aspect of the eye, including the iris, ciliary body, zonules, retina, retinal pigment epithelium (RPE), choroid and/or optic disc. [orpha.net]
- Ectopia Lentis
lentis - Aphakia Aniridia - Axenfeld syndrome - Buphthalmos - Coloboma - Hydrophthalmos - Keratoglobus - Zazam Sheriff Phillips syndrome Ears Microtia Other face and neck Otocephaly - Webbed neck - Microstomia - Macrocheilia See also non-congenital eye [wikidoc.org]
The clinical features of ASGD include iris hypoplasia, an enlarged or reduced corneal diameter, corneal vascularization and opacity, posterior embryotoxon, corectopia, polycoria, an abnormal iridocorneal angle, ectopia lentis, and anterior synechiae between [mendelian.co]
Lentis Microphthalmos Corneal Dystrophies, Hereditary Corneal Ulcer Keratitis, Herpetic Keratoconjunctivitis Sicca Scleritis Blindness, Cortical Optic Disk Drusen Optic Neuropathy, Ischemic Papilledema Aniridia Exfoliation Syndrome Pemphigoid, Benign [wexnermedical.osu.edu]
Ocular abnormalities are microcornea, corneal opacification, corectopia, ectopia lentis, aniridia, cataract, persistent fetal vasculature and/or retinal dysplasia. [eyewiki.aao.org]
- Corneal Edema
The most common complications were early corneal edema (73%), glaucoma (33%), and posterior capsular opacification (23%). Preoperative ACD was significantly associated with the incidence of glaucoma after surgery (P < .05). [ncbi.nlm.nih.gov]
Allergic Pinguecula Corneal Edema Corneal Endothelial Cell Loss Corneal Neovascularization Corneal Perforation Corneal Wavefront Aberration Presbyopia Geographic Atrophy Color Vision Defects Night Blindness Myopia, Degenerative Deaf-Blind Disorders [wexnermedical.osu.edu]
Because of the increased incidence of cornea guttata, transitory or permanent corneal edema can occur following cataract surgery. [doctorlib.info]
- Heterochromia Iridis
Other congenital diseases such as microcornea, microcoria, heterochromia iridis, microlentia, cataracts, retinal dysplasia, retinal detachment, anterior segment dysgenesis, acorea and proliferation of the anterior neuroectoderm [3]. [vetbook.org]
* Heterochromia iridis * Iris coloboma * Retinal varicosities * Choroidal angiomas 27. [slideshare.net]
Musculoskeletal
- Osteoporosis
Congenital nonattachment of the retina is also seen in the osteoporosis-pseudoglioma syndrome (250770). [disorders.eyes.arizona.edu]
[…] and polysyndactyly ORPHA40196HP:0000568 HP:0000568 Microphthalmia0 LARGE1 9215 236670 Muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type a, 1 CN033898 OMIM22136HP:0000568 HP:0000568 Microphthalmia0 LRP5 4041 259770 Osteoporosis [mseqdr.org]
- Small Head
These usually include an abnormally small head (microcephaly) and malformations of the ears and teeth. [rarediseases.org]
Ears
- Hearing Impairment
Eleven individuals have extra ocular findings (i.e. cardiac defects, autism, septo-optic dysplasia, and hearing impairment), which indicate a syndromic condition. [iovs.arvojournals.org]
Eleven individuals had extra-ocular findings such as cardiac defect, hearing impairment and neuropsychiatric disorders, possibly indicating syndromic conditions. [gu.se]
Hearing impairment may be present in some cases. The teeth may be widely spaced or abnormally crowded. In addition, front teeth (incisors) may be absent (agenesis) or malformed. [rarediseases.org]
impairment, and genitourinary malformations. [ncbi.nlm.nih.gov]
Face, Head & Neck
- Hypertelorism
On physical examination, the eye globes were not visualized and hypertelorism was noted. Radiological imaging revealed large bilateral orbital cysts, microphthalmos, and severe optic nerve hypoplasia. [ncbi.nlm.nih.gov]
Isotretinoin is contraindicated in pregnancy because of the many reported congenital abnormalities after maternal use (including microphthalmos, orbital hypertelorism, and optic nerve hypoplasia) [3]. [wikigenes.org]
Hypertelorism and hemifacial microsomia can also be seen in individuals with microphthalmia, and severely affected individuals may have hypoplasia of the orbit. The disorder may affect one or both eyes. [invitae.com]
(a) Three‐dimensional ultrasound image at 31 weeks' gestation showing a pinched nose, micrognathia and microstomia, abnormal calvarium, hypertelorism and frontal bossing of the forehead. [bodleintegrativehealth.com]
Workup
A head computerized tomography (CT) scan may also be needed as part of the workup of a seizure disorder. [ncbi.nlm.nih.gov]
Other Test Results
- Cortical Tubers
Tuberous Scleroses Also known as Bourneville disease. Vogt triad: Mental retardation Seizures Facial angiofibromas Primary features of this disorder: * Facial angiofibroma * Ungual fibromas (multiple) * Cortical tuber * Subependymal nodule (giant [slideshare.net]
Treatment
One treatment of clinical anophthalmos was interrupted on the parents' request (slow and bad evolution with complete retraction of the orbital socket after a conjunctivitis). [ncbi.nlm.nih.gov]
Treatment Treatment Options: No treatment is available. References [disorders.eyes.arizona.edu]
Treatment Can anophthalmia and microphthalmia be treated? There is no treatment for severe anophthalmia or microphthalmia that will create a new eye or restore vision. [pvfla.org]
Prognosis
Microphthalmos with cyst had the worst prognosis, coloboma with microcornea and microphthalmos a poor prognosis, coloboma with only microcornea had an intermediate prognosis, and simple coloboma had the best prognosis. [aao.org]
Prognosis The potential for visual development in microphthalmic patients is dependent upon retinal development and other ocular characteristics. The documents contained in this web site are presented for information purposes only. [orpha.net]
Very poor prognosis if associated with primary aphakia, retinal dysplasia, congenital retinal detachment/non attachment. • Risk for retinal detachment if coloboma may be in excess of 2% • Risk for glaucoma depends on associated ocular anomalies COMPLICATIONS [entokey.com]
The prenatal diagnosis, that is now available, permits the early diagnosis of these diseases and the awareness to other malformations or signs that may preview the prognosis, which must be carefully explained to parents. [elsevier.es]
Prognosis For anophthalmia, prosthetic eyes should be seen by a specialist two to three times per year to assess fit, mobility, and smoothness. They are usually well tolerated and have good appearance and mobility. [encyclopedia.com]
Etiology
Heritable etiologies and the other etiologies could not be compared due to the small number of the sample. [scielo.br]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Also discussed is the possibility of a combined genetic and environmental etiology. [ncbi.nlm.nih.gov]
Cases without a known genetic or syndromic etiology were primarily investigated to determine phenotypic and inheritance patterns. [jamanetwork.com]
Despite their clinical significance, little is known about the etiologies of these conditions. The goal of this study was to expand our understanding of the epidemiology of anophthalmia and microphthalmia. [onlinelibrary.wiley.com]
Epidemiology
Raph Goldacre 3, Nick Hall 3, Michael J Goldacre 3 1 Department of Oculoplastics, Lacrimal and Orbital surgery, Manchester Royal Eye Hospital, Manchester, UK 2 Department of Adnexal surgery, Moorfields Eye Hospital, London, UK 3 Unit of Health-Care Epidemiology [doi.org]
ORIGINAL ARTICLE Epidemiology of anophthalmia and microphthalmia: Prevalence and patterns in Texas, 1999–2009 Philip J. [onlinelibrary.wiley.com]
The descriptive epidemiology of anophthalmia and microphthalmia. Int J Epidemiol. 1996;25:1009–1016. ↑ 8.0 8.1 Forrester MB, Merz RD. Descriptive epidemiology of anophthalmia and microphthalmia, Hawaii, 1986–2001. [eyewiki.aao.org]
Pathophysiology
Comprehensively updated to reflect everything you need to know regarding retinal diagnosis, treatment, development, structure, function, and pathophysiology, this monumental ophthalmology reference work equips you with expert answers to virtually any [books.google.de]
Internal Medicine (85) Physiology and Pathophysiology (79) Cardiology, Angiology (72) Paediatrics, Neonatology (53) Medical Chemistry and Biochemistry (47) Pathology and Forensic Medicine (44) Surgery, Traumatology and Orthopaedics (27) Neurology (21) [portal.mefanet.cz]
Genetic counseling and/or prenatal testing (if mutated gene known or syndrome recognized in family) • Avoidance of in utero exposures if known risk for infection or teratogen • Can be detected by prenatal ultrasound at 12–13 weeks ( 3 )[C], ( 4 )[C] PATHOPHYSIOLOGY [entokey.com]
Overview The author explains the clinical presentation, pathophysiology, diagnostic work-up, and management of micturition and defecation syncopes. Micturition syncope is a fairly common disorder that generally occurs in men. [medlink.com]
Neurally mediated syncopal syndrome: pathophysiological concepts and clinical evaluation. Pacing Clin Electrophysiol 1997; 20:572-584. 6. [dusunenadamdergisi.org]
Prevention
In patients with congenital anophthalmos and severe microphthalmos, a tiny orbit and socket exist with little eyelids, frequently preventing retention of a standard conformer or prosthesis. [ncbi.nlm.nih.gov]
Prevention There is no known prevention for either, since these clinical signs are commonly associated with genetic inheritance. Resources BOOKS Yanoff, Myron, et al, editors. Ophthalmology. 1st ed. Mosby International Ltd., 1999. [encyclopedia.com]
CDC funds the Centers for Birth Defects Research and Prevention, which collaborate on large studies such as the National Birth Defects Prevention Study (NBDPS; births 1997-2011) and the Birth Defects Study To Evaluate Pregnancy exposureS (BD-STEPS; began [cdc.gov]