Park Sung Joon, Kim Joo Yeon, Baek Seung-Hee, Kim Eung Suk, Kim Ungsoo S
Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea.
Korean J Ophthalmol. 2010 Feb;24(1):62-4. doi: 10.3341/kjo.2010.24.1.62. Epub 2010 Feb 5.
We report a case of one sister and brother with mirror image myopic anisometropia. One sister and brother complained visual disturbance. The sister was 10 years 11 months old, and brother was 8 years 4 months old. Full ophthalmic examinations were performed, including slit lamp examination, intraocular pressure, keratometry, anterior chamber depth, axial length, fundus examination and the cycloplegic refraction. The cycloplegic refractive power was -15.50 dpt cyl.+4.50 dpt Ax 85 degrees (right eye), -1.00 dpt cyl.+0.50 dpt Ax 90 degrees (left eye) in the sister; -1.75 dpt cyl.+2.25 dpt Ax 90 degrees (right eye), -9.50 dpt cyl.+4.00 dpt Ax 80 degrees (left eye) in the brother. The co-occurrence of severe myopic anisometropia in a sister and brother is extremely rare. The present case suggests that severe myopic anisometropia may be related by genetic inheritance.
我们报告了一例患镜像性近视性屈光参差的姐弟病例。姐弟二人都诉说有视觉障碍。姐姐10岁11个月，弟弟8岁4个月。进行了全面的眼科检查，包括裂隙灯检查、眼压测量、角膜曲率测量、前房深度测量、眼轴长度测量、眼底检查和散瞳验光。散瞳验光的屈光度为：姐姐右眼-15.50 dpt柱镜+4.50 dpt轴位85度，左眼-1.00 dpt柱镜+0.50 dpt轴位90度；弟弟右眼-1.75 dpt柱镜+2.25 dpt轴位90度，左眼-9.50 dpt柱镜+4.00 dpt轴位80度。姐弟同时患有严重近视性屈光参差极为罕见。本病例提示严重近视性屈光参差可能与遗传有关。
