DOI: 10.36347/sjams.2015.v03i03.026

Pages: 1163-1170

Many previous studies have reported the prevalence of microphthalmos in live births. These patients invariably present with poor vision. However, their quality of life can be improved by improving the remaining functional vision.This study was planned with an aim to estimate the prevalence of microphthalmos in a tertiary eye care setting in an Indian population. Clinical features and visual improvement after refractive correction in these patients were also analyzed. Data analysis of 22 patients (38 eyes) of microphthalmos was done. This included history, clinical examination, refraction, corneal diameter and axial length measurements, cataract extraction with lens implantation, whenever indicated, and systemic evaluation. The main outcome variable in this study was improvement in visual acuity following spectacle correction. The prevalence of microphthalmos was found to be 2.6 per 10,000 patients seen. The average axial length and average corneal diameter were found least in complicated microphthalmos. Refraction could be performed in 24 eyes of 14 patients. Eighty three per cent of eyes (20 out of 24 eyes) noticed visual improvement after correction. Microphthalmos is a relatively rare ocular anomaly. It presents with various clinical features the most common being poor vision, nystagmus, and cosmetic disfigurement. Complicated microphthalmos is the most severe form of microphthalmos. Correction of refractive errors results in reasonably satisfactory improvement in vision.