Bilateral Congenital Aniridia Associated With Cataracts: A Case Report

Published 2022 - 40th Congress of the ESCRS

Reference: PO116 | Type: ESCRS 2022 - Posters | DOI: 10.82333/94dr-8k46

Authors: Zeinebou H’Meimett* ¹ , Manal tabchi ¹ , Synthia Mekyna ¹ , Abdelkader El akkoumi ¹ , Nourredine Boutemzine ¹ , lLalla ouafa Cherkaoui ¹

¹Ophtalmologie,Hôpital des spécialités,Rabat,Morocco

Purpose

a rare pathology and requires adequate care

Setting

•Congenital aniridia is a rare condition (1 / 40,000) manifested mainly by hypoplasia of the iris which can be associated with other eye disorders such as cataracts (glaucoma, corneal dystrophy, congenital cataract, ectopia of the lens, macular hypoplasia and optic nerve) and systemics, especially urogenitals.

Methods

•It’s a 15-year-old patient with no particular pathological history. They visited our facility for a decline in bilateral visual acuity and a notice of the parents of a bilateral leukocoria that had been neglected for several years. A complete ophthalmologic examination and ocular ultrasound were performed.

Results

•The ophthalmologic examination reveals a bilateral total white cataract with aniridia, a good anterior chamber. Normal eye tone. The rest of the exam cannot be accessed. The general check-up of this family does not show any extraocular abnormality. The ocular ultrasound was normal. Surgical management of cataracts with scleral implantation in the posterior segment was the treatment of choice. Postoperative amblyotherapy will be an essential complement, hence the benefit of genetic counseling. A post-operative check-up is also necessary to be able to diagnose a complication which requires rapid and effective treatment.

Conclusions

•The treatment of cataracts associated with aniridia is difficult, the indication for surgery is to be discussed, and the surgical technique is complex. The visual prognosis is reserved in the long term due to the frequently associated limbic insufficiency.