SAVING A CHILD FROM SCHOOL DROPPING OUT. A RARE CASE OF BILATERAL MICROSPHEROPHAKIA

To asses the outcome of the intra lenticular lens aspiration in microspherophakia for a paediatric case.

 

 

 

 

The patient were seen in a medical campaign in Atlas region of Africa and got transfered urgently to 20 Aout University Hospital, where could a complete examination were done in paediatric ophtalmology departement.

The study is about a signe case report of a 12 years old child whose both parents suffers from intellectual disability, schooled and a newly dropped out. The patient suffers from low visual acuity since birth and couldn't benefit from an ophtalmological examination.

The initial examination results were, a visual acuity at 1/10 in both eyes without a target at refraction, the IOP was normal at 10 mmHg. We noticed a subluxed lens inferiorly and nasaly in the right eye, but posteriourly in the left eye. The zonula fibers were abnormaly ellongated in both eyes. There was no anomaly in posteriour segment. After tropicamid dilatation, the lens got luxed anteriourly having an athalamia. there was  no complication, endothelium cells were fine abd there wasn't an angle closure glaucoma. The surgical managment was phaco aspiration with anteriour vitrectomy. Aphakia glasses were prescribed with 10/10 acuity bilaterally. There was no marfan or marchesani syndrome.

We believe that clear lens extraction and IOL implantation may be a valid treatment option for high myopia in cases of microspherophakia, but lens dislocation with abnormal zonular fibers, promiscuity and low social development of the child's family couldn't permit the implantation nor prescribtion of contact lenses.