Formation of a unilateral form deprivation myopia (FDM) due to a congenital eyelid entropium with a consecutive corneal ulcer: an illustrated case report.
Eye growth is regulated by a precise, sharp image of a distant object on the photoreceptor layer. A variety of laboratory investigations report that translucent occluders may induce axial eye elongation in animals. This axial growth is also called form deprivation myopia (FDM). In our pediatric ophthalmology clinic we observed the clinical correlate of FDM in a male infant with unilateral corneal ulcer due to a congenital tarsal malformation. Examination in the postnatal period under anesthesia revealed identical axial length in both eyes. Refraction of the affected eye could not be measured due to severe corneal ulcer. During an observation period of two years, the deep corneal opacification of the affected eye induced unilateral disproportionate axial elongation with formation of myopia. Formation of FDM may complicate treatment of amblyopia following unilateral media opacification. Periodic measurements of refraction should be performed to allow appropriate correction.
Schellenbeck
M
M
University Eye, Hospital Charité, Virchow Campus, Berlin, Germany. MSchellenbeck@aol.com
Hartmann
Chr
C
Schwarz
E C
EC
D001764:Blepharospasm / Q000209:etiology; D003320:Corneal Ulcer / Q000209:etiology*; D004774:Entropion / Q000150:complications* / Q000151:congenital / Q000601:surgery; D005124:Eye Abnormalities / Q000150:complications*; D005143:Eyelids / Q000002:abnormalities*; D005556:Form Perception; D006801:Humans; D007223:Infant; D008297:Male; D009216:Myopia / Q000209:etiology*; D012029:Refraction, Ocular; D012683:Sensory Deprivation