DR. POORNIMA TANDRA

Dr. RAMAN YENUGANDULA, Dr.Pravalika Kalva

Abstract

A 7 year old boy presented with complaints of diminision of vision since birth On examination Vision in right eye CF-1MT, left eye CF-1/2mts Microcornea in right eye – Horizontal diameter 9.2mm,Vertical diameter 9.2mm Microphthalmos in left eye- Horizontal diameter 7mm,Vertical diameter 7.5mm

Both eyes congenital cataract was noted

B-SCAN USG: Right eye showing choroidal coloboma, Left eye showing choroidal coloboma with Retinal detachmentOn general examination,Right external ear abnormality detected

Chest x-ray:Thoracic scoliosis was noted

ENT EVALUATION:Both ears sensorineural hearing loss

2D ECHO –no valvular or flow abnormality detectable

Patient was managed by performing right eye phacoemulsification with foldable IOL implantationParameters of customised IOL Optical diameter of IOL – 5.25mm Length of IOL – 10.50mm IOL Power – + 30.00D

Post operatively best corrected visual acuity improved to near normal of 6/9 at 4 weeks