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Case Report

Author(s): Siddiqi MH

PAH Med Col J. Jul 2025; 2(2): 62-64

Abstract

Extreme microphthalmia and anophthalmia are rare congenital ocular anomalies that may occur as isolated defects or in association with systemic abnormalities. We report a rare case of bilateral extreme microphthalmia in a full-term male newborn delivered at President Abdul Hamid Medical College Hospital, Kishoreganj, Bangladesh. The baby presented with sunken, deep-seated orbits and absent palpable globes since birth, with no history of maternal infection, teratogenic exposure, or familial congenital anomalies. Systemic evaluation, including TORCH screening, chest X-ray, abdominal ultrasonography, and echocardiography, revealed no abnormalities. Computed tomography confirmed poor development of the globes and orbits with a normally developed brain. The patient was referred for further management. This case highlights the importance of early neonatal ocular examination, advanced imaging, and the need for improved antenatal diagnostic facilities in resource-limited settings. To our knowledge, this is one of the few documented cases of bilateral extreme microphthalmia reported from Bangladesh.

Keywords

Bilateral extreme microphthalmia, Anophthalmia, Congenital ocular anomaly, SOX2 mutation

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How to cite: Siddiqi MH. Bilateral Extreme Microphthalmia in a Newborn: A Rare Case Report from Bangladesh. PAH Med Col J. Jul 2025; 2(2): 62-64.