ﮔﺰارش ﯾﮏ ﻣﻮرد ﻣﯿﮑﺮوﻓﺘﺎﻟﻤﯽ ﯾﮏ ﻃﺮﻓﻪ

A Case Report of Unilateral Microphthalmia

زﻣﯿﻨﻪ و ﻫﺪف: ﻣﯿﮑﺮوﻓﺘﺎﻟﻤﯽ ﺑﻪ وﺟﻮد ﯾﮏ ﭼﺸﻢ ﮐﻮﭼﮏ در داﺧﻞ orbitﺗﻌﺮﯾﻒ ﻣﯽﺷﻮد ﮐﻪ 30 ﻣﻮرد در ﻫﺮ ﺻﺪﻫﺰار ﺗﻮﻟﺪ زﻧﺪه دﯾﺪه ﻣﯽ ﺷﻮد ﮐﻪ در 11درﺻﺪ آﻧﻬﺎ ﻧﺎﺑﯿﻨﺎﯾﯽ ﮔﺰارش ﺷﺪه اﺳﺖ. ﯾﺎﻓﺘﻪﻫﺎ: ﺑﯿﻤﺎر ﻧﻮزاد دﺧﺘﺮ ﺣﺎﺻـﻞ زاﯾﻤﺎن ﻃﺒﯿﻌﯽ ﻣﺎدر ﭘﺮاﯾﻤﯽﭘﺎر35 ﺳـﺎﻟﻪ ﺑﺎ ﺳـﻦ ﺑﺎرداري33 ﻫﻔﺘﻪ و ﯾﮏ روز ﺑﺮاﺳـﺎس ﺳـﻮﻧﻮﮔﺮاﻓﯽNT ﻣﯽﺑﺎﺷـﺪ ﮐﻪ ﺑﻼﻓﺎﺻـﻠﻪ ﭘﺲ از زاﯾﻤﺎن ﺑﻪ دﻟﯿﻞ دﯾﺴـﺘﺮس ﺗﻨﻔﺴـﯽ و ﮔﺮاﻧﺘﯿﻨﮓ و رﺗﺮﮐﺸـﻦ ﺳـﺎب ﮐﻮﺳـﺘﺎل و ﺗﺎﮐﯽ ﭘﻨﻪ وﺻﻞ وﻧﺘﯿﻼﺗﻮر ﺷﺪ و در ﻣﻌﺎﯾﻨﻪ روز اول ﭘﺲ از زاﯾﻤﺎن ﻣﯿﮑﺮوﻓﺘﺎﻟﻤﯽ ﭼﺸﻢ ﭼﭗ ﻣﺸﺎﻫﺪه ﺷﺪ. ﻧﺘﯿﺠﻪ ﮔﯿﺮي: ﺑﺮ ا ي ﭘﯿﺸﮕﯿﺮي از ﻣﯿﮑﺮوﻓﺘﺎﻟﻤﯽ ﻻزم اﺳﺖ در ﺳﻮﻧﻮﮔﺮا ﻓﯽ ﺳﻪ ﻣﺎﻫﻪ دوم ﺣﺎﻣﻠﮕﯽ ﺑﻪ اﯾ ﻦ ﻣﻮﺿﻮع ﺑﭙﺮدازﻧﺪ و اﮔﺮ ﻣﺎدر ﺣﺎﻣﻠﻪ در ﻣﻌﺮض اﺷﻌﻪ Xﻗﺮار ﮔﺮﻓﺖ ﯾﺎ ﻣﺒﺘﻼ ﺑﻪ ﺑﯿﻤﺎريﻫﺎي ﻋﻔﻮﻧﯽ ﺷﺪ ﯾﺎ ﺳﺎﯾﺮ ﻋﻮاﻣﻞ ﺧﻄﺮ ﻣﺜﻞ ﻣﺼﺮف ﻃﻮﻻﻧﯽ ﻣﺪت ﺗﺎﻟﯿﺪوﻣﯿﺪ، وارﻓﺎرﯾﻦ و اﻟﮑﻞ، ﮐﻤﺒﻮد وﯾﺘﺎﻣﯿﻦ A را داﺷﺖ، ﺗﻮﺻﯿﻪ ﻣﯽ ﺷﻮد ﻋﻼوه ﺑﺮ ﺳﻮﻧﻮﮔﺮاﻓ ﯽ در ﺻﻮرت اﻣﮑﺎن ﺑﺮرﺳﯽ ژﻧﺘﯿﮑ ﯽ اﻧﺠﺎم ﺷﻮد.

Microphthalmia is defined as the presence of a small eye inside the orbit, which occurs 30 times per 100,000 live births. 11% of which have been reported blind. Case report: The patient was a 35-year-old pregnant woman born to a normal mother of 33 years and one day pregnant on the basis of NT sonography. Examination was observed on the first day after delivery of left eye microphthalmia. Conclusion: To prevent microphthalmia, it is necessary to address this issue in the second trimester of pregnancy, and if the pregnant mother has been exposed to X-rays or has an infectious disease or other risk factors such as long-term use of thalidomide, warfarin and alcohol, deficiency Vitamin A, it is recommended in addition to ultrasound if possible genetic testing.