Management of strabismus in nanophthalmic patients: A long-term follow-up report☆
Section snippets
Material and methods
The records of 15 consecutive patients who had bilateral nanophthalmos and strabismus were retrospectively reviewed in this study. Twenty-three eyes of 12 patients had axial length measurements less than 20 mm. Seven eyes of four patients had axial length values between 20 and 21 mm; all these patients showed clinical characteristics of nanophthalmos, including slightly shallow anterior chambers and high hypermetropia of at least 5 D. None of the patients had associated dysmorphic features or
Results
Of the 15 patients with nanophthalmos and strabismus, 7 were male and 8 were female. The average age at which the patients were enrolled in the study was 4.7 (range, 1–12) years. The average age of these patients on the completion of the study was 11.5 (range, 8–17) years. The patients were followed for an average of 7.0 (range, 4–14) years. The systemic physical examinations did not yield any additional problems. The mean axial length was determined as 18.4 mm (range, 15.5–20.7). The axial
Discussion
Despite the known association between hyperopia and strabismus, to the best of our knowledge no study has specifically evaluated nanophthalmic patients with concurrent strabismus. This study both identifies the types of strabismus that are associated with nanophthalmos and also investigates the results of surgical procedures performed for ocular misalignment.
Nanophthalmos has been classified as simple microphthalmos, which differs from other types of microphthalmos by the absence of associated
References (6)
Anomalies in the size of the eye
Classification of microphthalmos and coloboma
J Med Genet
(1993)- et al.
The nanophthalmic macula
Br J Ophthalmol
(1998)
Cited by (0)
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Manuscript no. 220169.
The authors have no financial interest in this study.