The baby boy was born to a healthy mother via normal vaginal delivery. And there is no family history of ocular defects. The eye examination at birth revealed that a bluish-grey, enlarged,?slightly proptotic left eye and the cornea was extremely thin. Because of the opacity of the cornea, the pupil and iris were not seen. Tonometry results of the ?eye revealed an intraocular pressure (IOP) of 15 mm/Hg which causes Buphthalmos. The right eye is normal. A pediatric ophthalmologist examined and stated that the IOP of 15 mm/Hg.
Buphthalmos, the meaning of it is an ox eye; it is a rare type of ocular disorder which is characterized by the enlargement of eye results from elevated Intra Ocular Pressure, sometimes it is also caused by the primary congenital glaucoma it is the main case in the infant. The estimated occurrence is thought to be 1 in 30,000 births of child?s. Bilateral disease is more common. Along with the primary congenital glaucoma, other conditions associated with buphthalmos are trisomy 13, cerebral hepatorenal syndrome, Hurler syndrome, and neurofibromatosis type 1. Buphthalmos is very rarely present at birth because the abnormal system can handle the little amounts of aqueous fluid that are produced in the infant’s eye during the first several months of life of a child. The presence of the anomaly at birth indicates the development of early gestation and more severe diseases. Buphthalmos is a result of primary congenital glaucoma that develops within the months after the birth and it can be suspected by tearing, photophobia, and blepharospasm in bright lights. Milder degrees of congenital glaucoma with megalocornea may be surgically corrected.
Two weeks later, an ultrasonogram of the left eye revealed that the absence of retinal structures, and they were replaced by an intraocular cyst, and the eye was completely nonfunctional. The infant was transferred to the pediatric ophthalmology service provider at a nearby children?s hospital, where he underwent enucleation.