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conferenceseries
.com
July 17-19, 2017 Chicago, USA
World Congress and Expo on
Optometry & Vision Science
Volume 2, Issue 1 (Suppl)
Optom Open Access, an open access journal
ISSN:2476-2075
World Optometry 2017
July 17-19, 2017
Eye rehabilitation in patients with microphthalmia
Andrea Lorena Bergon
Universidad de Moron (UM), Argentina
T
his is the case of female 10 month-old patient, who is brought by her parents for consultation after she had been diagnosed
left microphthalmia at birth in Teodoro Shestakof Hospital, in San Rafael, Mendoza. The baby girl were not under any
kind of treatment in her first months of life, so I started rehabilitation of the orbit cavity when I received her. In the first
meeting parents bring TAC report: no bone alterations in either orbit structure. Microphthalmia with slight deformation of left
eye globe, maximum transversal diameter of eye globe 12 mm and 9 mm anteroposterior. Extrinsic musculature and optical
nerve impress by this method of normal characteristics, without retrobulbar lesions. Optical ducts, preserved. In addition to
Magnetic Resonance , it is reported to observe reduction of volume of the left eyeball with alteration of its signal intensity,
resulting in Ptisis bulbi. In the anamnesis the cavity is underdeveloped, with conjunctival sac and narrow palpebral groove
due to the lack of stimulation for the development and growth of these structures. Considering the size and deformation of
the orbital cavity, rehabilitation started, using visualization technique and molding the first wax shaper, of 18mm as the largest
horizontal diameter and 12 mm the vertical largest one. Then the first medical device was made with thermo-curable polymer
and it was placed in the patient for one week in the first control there was good acceptance, passing to a progressive increase
of 2mm in both diamters, vertical and horizontal, every 15 days, checking the tissue expansion and tolerance to change in
each control. After the forth change of shape, the patient interrupted controls for 60 days and stop using the shaper due to
the fact that because of lack of bigger size and child’s friction the shaper had been ejected. When the patient attended a new
control, the problem was the last shaper couldn’t be used as the cavity had retracted, thus being as in the situation of the second
shaper of the treatment, observing a regression in the tissue rehab. Then parents realized the importance of the continuity of
the treatment and the commitment needed so as to have good results.Today, a year later, the patient is wearing a customized
prosthetic eye, with stable cavity and considerable facial symmetry with his age and a new control in a year’s time.
Biography
Andrea Lorena Bergon is presently an optician at Berprot Centro Optico in Argentina. She is a Specialist in Contact Lenses and as well as an Ocularist. She
Graduated at the Universidad de Morón, School of Natural, Chemestry and Exact Sciences- Buenos Aires, Argentina. With degree as: Technical Optrician.
Postgrade in Specialization in Contact Lenses. Specialist in the fabrication of prosthetic eye. Technical director in Berprot Optical Center.
lorena-bergon@hotmail.comAndrea Lorena Bergon, Optom Open Access 2017, 2:1 (Suppl)
DOI: 10.4172/2476-2075-C1-002