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Early reconstruction surgery resolving visual occlusion and ocular malformation: a case report
Shiqiong Xu1, Yang Dong, Renbing Jia
1From the Department of Ophthalmology, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, P.R. China.
Medicine
|December 30, 2014
Summary
This case report details a rare embryonic fibroma causing congenital ocular malformation in a newborn. Early surgical intervention corrected the malformation, preventing amblyopia and ensuring normal visual development.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Developmental Biology
Background:
- Congenital ocular malformations can impair vision in children.
- Orbital bone development occurs early in embryogenesis, making it susceptible to abnormalities.
- Embryonic fibromas are rare tumors that can affect ocular development.
Observation:
- A newborn presented with congenital canthus malposition, distorted tarsus, and mild enophthalmos.
- The malformation was attributed to an embryogenesis fibroma.
- This condition, though rare, poses a risk for developing amblyopia.
Findings:
- Surgical resection of the fibroma and orbital reconstruction were performed.
- Follow-up at 12 months and 5 years showed no recurrence.
- Excellent visual acuity (20/20 left, 16/20 right) and symmetrical orbit reconstruction were achieved.
Implications:
- This is the first reported case of embryonic fibroma in a child.
- Early surgical reconstruction may prevent visual impairment and further ocular malformations.
- Timely intervention is crucial for optimal outcomes in congenital orbital anomalies.
