Case Stories

Successful Surgery restores Comfort to a 3-year-old with Protruding Eye
- Dr. AKRUTI DESAI

HealEYE

Health Insights

Dr. AKRUTI DESAI

Faculty
Oculoplasty, Orbit & Ocular Oncology

Successful Surgery restores Comfort to a 3-year-old with Protruding Eye:

A Case of Pediatric Staphyloma

Case History

A 3-year-old girl child from Ujjain was referred to Shantilal Shanghvi Eye Institute for a protruding right eye with no vision. She was diagnosed of a developmental anomaly in which the outer coat of the eye composed of cornea and sclera progressively bulge outwards leading to a condition called Staphyloma. This child had anterior and ciliary staphyloma in the right eye which not just caused pain and redness but also the protrusion was causing incomplete closure of the eye.

Treatment

An evisceration was planned with a suitable ocular implant under General Anesthesia. The child had been earlier operated for a ventricular septal defect so special precautions were taken for the same. The surgery was performed taking care to ensure layered closure. The child was kept in observation for 4-5 hours post-surgery and later discharged.

Result

The child underwent a review on the following day and again on Day-3, marking the initiation of eyelid opening. She recovered well and is at ease while wearing a conformer. Six weeks post-surgery, she is scheduled for a personalized ocular prosthesis. The child was not only comfortable but also actively engaged in play, bringing joy to her delight parents.

Evisceration is a procedure in which intra-ocular contents are removed preserving the sclera and eye muscles and it commonly involves placement of an implant to maintain the volume. This is then followed by customizing an ocular prosthesis suitable to each patient so that the external appearance of the eye is the same. This procedure is indicated in a painful blind eye which does not contain a neoplasm.