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Iris Fixation via External Pentagram Suturing

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Newborn with bilateral hazy corneas.

I Bleyen¹, M C Bartels, R C W Wolfs

¹Erasmus MC, University Hospital, Rotterdam. isabelbleyen@yahoo.com

Bulletin De La Societe Belge D'Ophtalmologie

|September 27, 2007

Summary

This case report details a preterm infant with bilateral hazy corneas and developing buphthalmos. Diagnosis revealed sclerocornea combined with Peters

Area of Science:

Ophthalmology
Neonatal Medicine
Pediatric Surgery

Background:

Congenital corneal opacities are rare conditions affecting infant vision.
Sclerocornea and Peters' anomaly are distinct corneal developmental disorders.
Early diagnosis and management are crucial for visual prognosis in affected neonates.

Observation:

A preterm neonate presented with bilateral hazy corneas and normal initial intraocular pressures.
Postnatal observation revealed progressive corneal opacification and the onset of right eye buphthalmos.
Surgical intervention with trabeculectomy was performed on the right eye due to increased intraocular pressure.

Findings:

The clinical presentation indicated a complex interplay of corneal abnormalities.

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Histopathological examination confirmed a diagnosis of sclerocornea co-existing with Peters' anomaly.

The combination of these conditions led to significant visual impairment and elevated intraocular pressure.

Implications:

This case highlights the importance of recognizing combined sclerocornea and Peters' anomaly in preterm infants.
Timely surgical intervention, such as trabeculectomy, may be necessary to manage secondary glaucoma.
Further research into the genetic and developmental pathways of these combined corneal anomalies is warranted.