Purpose:To report a young
patient with microphthalmos associated with bilateral papillomacular fold and
severe hyperopia
Case report:In this observational
case report, a sixteen-year-old young man was referred with high hyperopia to Al-Zahra
Eye Hospital, Zahedan University of Medicalf Sciences, Zahedan, Iran, for check
up. Spherical error in right eye (RE) was +14.75 D and in the left eye (LE) was
+15.00 D without astigmatism. Keratometry was reported 51.50, 52.25@113 in RE
and 51.25, 52.25@65 in LE. Best corrected visual acuity (BCVA) was 20/25
in both eyes. Axial length in RE was 14.8 mm and 14.9 mm in LE. Also cornea
diameter measured 9.9 for both eyes. In fundus exam, a papillomacular retinal
fold extending from the center of the fovea toward the optic nerve head was
present. In OCT exam, papillomacular fold with thickness of 322 microns in RE
and 277 microns in LE were reported. In Pentacam exam, anterior chamber depth,
central corneal thickness and anterior and posterior best fit sphere (BFS) were
reported 2.34 mm, 565 microns, 6.54 mm and 5.39 mm in RE and 2.41 mm, 578 microns,
6.54 mm and 5.39 mm in LE. Intraocular pressure (IOP) was 13 mmHg in both eyes
and there was no sign of angle closure glaucoma.
Conclusion: Microphthalmos may be
associated with high hypermetropia, thick papillomacular fold, and steep cornea
with a relative good vision.
Abrishami M, Maleki A, Hamidian-Shoormasti A, Abrishami M. Bilateral Microphthalmos Associated with Papillomacular Fold, Severe Hyperopia and Steep Cornea. Iranian Journal of Ophthalmology. 2014; 26 (4) :223-227 URL: http://irjo.org/article-1-1030-en.html