title: [Isolated microspherophakia in a Senegalese family].
abstract: OBJECTIVE
  To report the clinical investigation of isolated microspherophakia involving a Senegalese family in order to appreciate its functional impact.
  
  
  METHODS
  This is a rural family comprised of 7 members. The sibship included three girls and two boys. One of the girls, who lived in a distant zone, was unable to be examined. Of all the examined members of the family, only the father was unaffected by the illness. There was no consanguinity. The general medical examination was normal. The best-corrected visual acuity (VA) for the girls was 2/10. For one of the boys, BCVA was 8/10 for both eyes, and for the other, BCVA was 10/10 for the right eye and 8/10 for the left eye. The mother's VA was 10/10 and P2 without correction. Myopia and astigmatism were present in the 4 children of the sibship. During the examination, we noted the presence of small crystalline lenses, which were very round and presented an abnormal visibility of the lens equator and zonular fibers. The diagnosis of microspherophakia was confirmed by measurement of the lens diameters by ultrasound biomicroscopy. Complications were present in the girls, including pupillary block glaucoma and amblyopia for the elder, and retinal degeneration and amblyopia for the younger daughter. The elder daughter was managed medically with glaucoma drops. The younger daughter received optical correction and a prophylactic Argon LASER treatment. The two boys received optical correction. No treatment was recommended for the mother.
  
  
  CONCLUSIONS
  Microspherophakia is a rare condition. Some serious complications can lead to amblyopia. A better multidisciplinary evaluation would allow for early detection and a better prognosis.
authors.affiliation: Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal.
authors.forename: P A
authors.initials: PA
authors.lastname: Ndoye Roth
authors.affiliation: Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal.
authors.forename: S A
authors.initials: SA
authors.lastname: Toure
authors.affiliation: Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal. Electronic address: hapikane@gmail.com.
authors.forename: H
authors.initials: H
authors.lastname: Kane
authors.affiliation: Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal.
authors.forename: A S
authors.initials: AS
authors.lastname: Sow
authors.affiliation: Service d'ophtalmologie, hôpital d'Enfants de Diamniadio, 21000 Thiès, Sénégal.
authors.forename: A M
authors.initials: AM
authors.lastname: Wane
authors.affiliation: Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal.
authors.forename: J M
authors.initials: JM
authors.lastname: Ndiaye
authors.affiliation: Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal.
authors.forename: A M
authors.initials: AM
authors.lastname: Ka
authors.affiliation: Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal.
authors.forename: J P
authors.initials: JP
authors.lastname: Diagne
authors.affiliation: Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal.
authors.forename: H M
authors.initials: HM
authors.lastname: Diallo
authors.affiliation: Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal.
authors.forename: M E
authors.initials: ME
authors.lastname: Demedeiros Quenum
authors.affiliation: Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal.
authors.forename: M
authors.initials: M
authors.lastname: Nguer
authors.affiliation: Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal.
authors.forename: E A
authors.initials: EA
authors.lastname: Ba
authors.affiliation: Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal.
authors.forename: P A
authors.initials: PA
authors.lastname: Ndiaye
authors.affiliation: Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal.
authors.forename: M R
authors.initials: MR
authors.lastname: Ndiaye
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003316:Corneal Diseases / Q000235:genetics / Q000473:pathology*; D004479:Ectopia Lentis / Q000235:genetics / Q000473:pathology*; D005190:Family; D005260:Female; D005901:Glaucoma / Q000235:genetics / Q000473:pathology*; D006801:Humans; D007498:Iris / Q000002:abnormalities* / Q000473:pathology; D008297:Male; D012675:Senegal
keywords: Famille sénégalaise; Isolated microspherophakia; Microsphérophakie isolée; Senegalese family