Posterior Microphthalmia, A Challenging Diagnosis

  • Nazia Qidwai , Kalimullah Shaikh


Microphthalmia involves eyes with total axial length of at least 2 standard
deviations below age-similar controls. This case report presents an unusual form
of microphthalmia, the posterior microphthalmia which has never been reported
in Pakistan before. It also emphasises on the importance of use of Optical
coherence tomography (OCT) for the diagnosis of posterior micropohthalmia. A
7 year old boy presented to us with bilaterally decreased vision and was found to
have bilateral high hypermetropia. His fundal examination showed blurred optic
disc margins and dolphin - shaped elevated pappillomacular fold extending from
the fovea to the optic disc in both the eyes. OCT showed elevated neurosensory
retina with normally attached retinal pigment epithelium. This confirmed the
diagnosis of posterior Microphthalmia. The use of OCT thus aids in not just
establishing the diagnosis of posterior microphthalmia but also prevents us from
developing the wrong diagnosis of papilledema and carrying out any
unnecessary investigations.
Key words: Posterior microphthalmia, High hypermetropia, Optical coherence
tomography, Pseudopapilledema.

How to Cite
, Kalimullah Shaikh NQ. Posterior Microphthalmia, A Challenging Diagnosis. pjo [Internet]. 31Dec.2015 [cited 25Sep.2021];31(4). Available from:
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