Main Article Content
Abstract
La sclérocornée congénitale appartient au groupe des opacifications cornéennes congénitales. En plus du problème esthétique que cette pathologie pose, le pronostic visuel est en général sombre. L’ultra biomicroscopie doit être systématique pour compléter le diagnostic et classifier l’anomalie. Le conseil génétique est nécessaire et l’indication d’une greffe de cornée se discute en fonction du bilan lésionnel et du pronostic. Nous rapportons un cas de sclérocornée congénitale bilatérale chez un nourrisson de 2 mois afin d’attirer l’attention des praticiens sur cette pathologie rare et difficile à prendre en charge dans notre contexte.
ABSTRACT
Congenital clouding of the cornea can be caused by congenital sclerocornea amongst other causes. This condition is associated with poor visual prognosis besides the aesthetic problem. In order to complete the diagnosis and classify the condition, ultrasound biomicroscopy is the gold standard. Corneal transplantation can solve the problem with a proper indication. Genetic counselling should be systematic. The treatment of this disease is difficult in our country. We report a case of congenital bilateral sclerocornea in a 2 months old infant with the aim of drawing the attention of medical practitioners to this rare condition and underlining the difficulties in managing such patients in our setting.
Article Details
References
- Bhat YR, Sanoj KM. Images in Clinical Practices. Sclerocornea. Indian Pediatrics. 2005;42:42.
- Bermejo E, Martínez-Frías ML. Congenital eye malformations: clinical-epidemiological analysis of 1,124,654 consecutive births in Spain. Am J Med Genet. 1998;75(5):497–504.
- Bondunde OT, Ajibode HA. Congenital eye diseases at Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. Niger J Med. 2006; 15(3):291–4.
- Bella AL, Dohvoma VA, Eballe AO, Abdouramani O. Pattern of corneal pathologies in children seen at Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Cameroon. Clinical Ophthalmology. 2013;7:2007-2010.
- Elliott JH, Feman SS, O'Day DM, Garber M. Hereditary sclerocornea. Arch Ophthalmol.1985; 103(5):676-9.
- Cotran PR, Bajart AM. Congenital corneal opacities. Int Ophthalmol Clin. 1992; 32(1):93–105.
- Rezende RA, Uchoa UB, Uchoa R, Rapuano CJ, Laibson PR, Cohen EJ. Congenital corneal opacities in a cornea referral practice. Cornea. 2004; 23(6):565-70.
- Nischal KK, Naor J, Jay V, MacKeen LD, Rootman DS. Clinicopathological correlation of congenital corneal opacification using ultrasound biomicroscopy. Br J Ophthalmol 2002; 86(1):62–9.
- Comer RM, Daya SM, O'Keefe M. Penetrating keratoplasty in infants. JAAPOS. 2001; 5(5):285-90.
- Frueh BE, Brown SI. Transplantation of congenitally opaque corneas. Br J Ophthalmol. 1997; 81(12):1064-9.
- Seitz B, Hager T, Szentmáry N, Langenbucher A, Naumann G. Keratoplasty in children--still a dilemma.Klin Monbl Augenheilkd. 2013;230(6):587-94.
- Michaeli A, Markovich A, Rootman DS. Corneal transplants for the treatment of congenital corneal opacities. J Pediatr Ophthalmol Strabismus. 2005;42(1):34-44.
References
Bhat YR, Sanoj KM. Images in Clinical Practices. Sclerocornea. Indian Pediatrics. 2005;42:42.
Bermejo E, Martínez-Frías ML. Congenital eye malformations: clinical-epidemiological analysis of 1,124,654 consecutive births in Spain. Am J Med Genet. 1998;75(5):497–504.
Bondunde OT, Ajibode HA. Congenital eye diseases at Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. Niger J Med. 2006; 15(3):291–4.
Bella AL, Dohvoma VA, Eballe AO, Abdouramani O. Pattern of corneal pathologies in children seen at Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Cameroon. Clinical Ophthalmology. 2013;7:2007-2010.
Elliott JH, Feman SS, O'Day DM, Garber M. Hereditary sclerocornea. Arch Ophthalmol.1985; 103(5):676-9.
Cotran PR, Bajart AM. Congenital corneal opacities. Int Ophthalmol Clin. 1992; 32(1):93–105.
Rezende RA, Uchoa UB, Uchoa R, Rapuano CJ, Laibson PR, Cohen EJ. Congenital corneal opacities in a cornea referral practice. Cornea. 2004; 23(6):565-70.
Nischal KK, Naor J, Jay V, MacKeen LD, Rootman DS. Clinicopathological correlation of congenital corneal opacification using ultrasound biomicroscopy. Br J Ophthalmol 2002; 86(1):62–9.
Comer RM, Daya SM, O'Keefe M. Penetrating keratoplasty in infants. JAAPOS. 2001; 5(5):285-90.
Frueh BE, Brown SI. Transplantation of congenitally opaque corneas. Br J Ophthalmol. 1997; 81(12):1064-9.
Seitz B, Hager T, Szentmáry N, Langenbucher A, Naumann G. Keratoplasty in children--still a dilemma.Klin Monbl Augenheilkd. 2013;230(6):587-94.
Michaeli A, Markovich A, Rootman DS. Corneal transplants for the treatment of congenital corneal opacities. J Pediatr Ophthalmol Strabismus. 2005;42(1):34-44.