Congenital Anophthalmos and Microphthalmos is a rare Birth Defect. Congenital anophthalmos is a condition where a child is born with the absence of one or both eyes. It is a developmental anomaly characterized by abnormal smallness of one or both eyes. Microphthalmos may range from mild, with a slightly small eyeball, to severe, with a vestigial eyeball associated with hypo plastic orbits and eyelids.
The goals of treatment for Microphthalmos are:
To enlarge the bony orbit
To enlarge the conjunctival space
To increase fissure length and
To promote normal development of the lid margins and lashes
The guiding principle is conservative therapy that is, avoiding surgery if at all possible, so that ocularisty can ultimately provide the optimum cosmetic results. The management of microphthalmos is very difficult. We at Advanced Artificial eye services suggest that it is always better to start early because socket tissues are soft and fornices can be expanded easily by putting custom conformers.Starting early also has the advantage of stimulating the growth of bony orbit and preventing the facial asymmetry. Gradually increasing Custom conformers known as socket expanders helps in expanding the bony socket, deepening the fornices, increasing the palpebral fissure and providing better cosmetic results. We have cases of Microphthalmos with a follow up of 2 years. We started the treatment at the age of 6 weeks of the patient, now she is 9 years old with almost no facial deformity. In fact very few people know about her prosthetic eye due to timely management of microphthalmos treatment in Meerut Uttar pradesh india.
