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Anoftalmi och mikroftalmi kräver multi-disciplinär vård - Många av barnen har även andra medicinska problem

Journal article
Authors Ylva Jugård
Marie Odersjö
Alexandra Topa
Gun Lindgren
Marita Andersson Grönlund
Published in Läkartidningen
Volume 112
ISSN 0023-7205
Publication year 2015
Published at
Language sv
Links www.lakartidningen.se/Klinik-och-ve...
Subject categories Otorhinolaryngology

Abstract

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.

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