Unilateral congenital microphthalmia in newborn: a case report

Abstract

Here, we reported a case of term infant with unilateral congenital microphthalmia (CM). Physical examination conducted on 2 d after birth showed that the left eye was barely open and the eye socket was deeper than the right. Meanwhile, the cornea of the left eye was not completely exposed and the light reflex could not be elicited. Ophthalmology consultation, ultrasound and CT scan were conducted, and CM was finally diagnosed since the infant was found to have a small eyeball and shortened axial length, accompanying by pathological changes in the lens, vitreous body and retina. This case suggested that detailed physical examination should be carried out, especially for the eyes, including orbit and eyelid, presence or absence of secretion or concealed eyeball, together with medical imaging techniques technology, to ensure an early detection and diagnosis of CM in neonates. Key words: Microphthalmos; Infant, newborn