Anoftalmi och mikroftalmi kräver multidisciplinär vård. Många av barnen har även andra medicinska problem
Sammanfattning
Anophthalmia/microphthalmia (A/M) are rare congenital eye malformations. Early intervention with ocular prosthesis can stimulate
orbital growth and prevent facial asymmetry. We reviewed medical records from 18 individuals with A/M (0.8–31 years) treated with ocular
prosthesis at Sahlgrenska University Hospital between 2000 and 2012. A majority had other ocular findings. Seven had subnormal visual
acuity in the fellow eye, one third were in contact with vision support services and half of the group wore glasses. Eleven individuals had
extra-ocular findings such as cardiac defect, hearing impairment and neuropsychiatric disorders, possibly indicating syndromic conditions.
We suggest that investigation of A/M children should include ultrasound of the eye, optionally visual evoked potential and magnetic
resonance imaging of the CNS. The ophthalmologist should initiate treatment with prosthesis, pediatric assessment, hearing tests and
genetic counseling, but should also monitor visual development of the fellow eye.