前段发育不全(ASD)代表了罕见的光谱,先天性疾病由于其复杂性和异质性而对眼科管理构成重大挑战。当与其他严重的眼部病症相关时,ASD的管理变得特别复杂。本报告讨论了一名4岁女孩被诊断患有ASD,表现出硬化角膜的组合,无晶状体,无虹膜,和继发性青光眼。由于这种情况的复杂性,需要多学科的方法。尽管对左眼进行了成功的初步手术干预,眼由于随后的眼内炎和视网膜脱离而丧失,导致决定采用保守派,右眼非手术入路.尽管已经进行了一系列治疗干预,最终的视觉结果很差,证明了此类案件的复杂性和严重性。此案提醒人们需要定期随访,提示识别,和潜在并发症的管理。需要进一步的研究来优化具有相似表现的患者的结局。
Anterior Segment Dysgenesis (ASD) represents a spectrum of rare, congenital disorders that pose significant challenges to ophthalmological management due to their complex and heterogeneous nature. The management of ASD becomes particularly complex when associated with other serious ocular conditions. This report discusses the case of a 4-year-old girl diagnosed with ASD exhibiting a combination of
sclerocornea, aphakia, aniridia, and secondary glaucoma. Owing to the complexity of such condition, a multi-disciplinary approach is required. Despite successful initial surgical interventions on the left eye, eye was lost due to subsequent endophthalmitis and retinal detachment, resulting in a decision to adopt a conservative, non-surgical approach for the right eye. Although a series of therapeutic interventions have been performed, the final visual outcome was poor, demonstrating the complexity and seriousness of such cases. This case serves as a reminder of the need for regular follow-up, prompt recognition, and management of potential complications. Further research is necessary to optimize the outcomes in patients with similar presentations.