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PubMed · 10798142

Cryptophthalmos.

Abstract

Cryptophthalmos, a very rare congenital anomaly of the eye, is characterised by skin passing continuously from the forehead to the cheek over a malformed eye. It may be isolated or more commonly as a part of Fraser syndrome. Cryptophthalmos is classified into three types: complete, incomplete and abortive. Surgical reconstruction is the modality of treatment available. We present a case of bilateral, complete, isolated cryptophthalmos, who has undergone stage 1 of reconstructive surgery.

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S Kanhere, V Phadke, A Mathew, S F Irani. Cryptophthalmos.. https://doi.org/10.1007/bf02726274

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Foveal ectopia in X-linked retinoschisis.

BACKGROUND: This study compared the position of the foveal center in patients with X-linked retinoschisis (XLRS) and controls and estimated the frequency of foveal ectopia in XLRS. METHOD: Fundus photographs of 23 patients with XLRS and 25 controls were reviewed. The position of the foveal center relative to the vertical center of the optic disk was determined from magnified images and expressed as the angle between the disk and foveal centers, relative to the horizontal meridian. The shortest distance between the foveal and disk centers was also measured, using the horizontal disk diameter (HDD) as the relative size unit. RESULTS: The position of the foveal center could be determined accurately for 43 eyes of the 23 patients with XLRS. The foveal center was located an average of 4.7 degrees (standard deviation, 9.3) below and 3.2 HDD (standard deviation, 0.4) temporal to the vertical disk center. In 9 (21 %) of the eyes, the fovea was above the horizontal meridian. For the control eyes, the foveal center was an average of 7.8 degrees (standard deviation, 2.3) below and 2.9 HDD (standard deviation, 0.4) temporal to the vertical disk center. According to a previous definition, foveal ectopia was present in 13 (30%) of the eyes with XLRS and none of the control eyes (P < 0.001). CONCLUSION: Foveal ectopia occurs in at least 30% of eyes with XLRS. This finding may provide a useful diagnostic sign for XLRS and may have implications for its pathogenesis.

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