Prognosis for education of children with bilateral congenital microphthalmus

Retrospective study of 34 patients with bilateral microphthalmus and follow-up of 30 of these revealed mental retardation of seven, an incidence equal to or less than reported by others. Of greater import is the number of highly educated or extremely good students, a finding not previously reported. Familial incidence of microphthalmus was low (4 probable but unproved cases). It seems that in counseling parents of children with microphthalmus we should be optimistic about the future achievement of these children. Support should be provided during their learning years, and we must promote better acceptance by the community, particularly in regard to employment.