Madan Siddharth, Chaudhuri Zia
Department of Ophthalmology, Lady Hardinge Medical College, University of Delhi.
Department of Ophthalmology, PGIMER & Dr. R.M.L Hospital, New Delhi, India.
Ophthalmic Plast Reconstr Surg. 2018 Jul/Aug;34(4):e110-e113. doi: 10.1097/IOP.0000000000001107.
Amniotic band syndrome is a rare congenital disorder caused by entrapment of fetal parts (usually a limb or digits) in fibrous amniotic bands while in utero that presents with complex multisystem anomalies. The authors report 2 children with amniotic band syndrome who presented to the ophthalmic unit of the authors' pediatric hospital. One of them presented with telecanthus, syndactyly, amputated toes, and unilateral epiphora diagnosed as congenital nasolacrimal duct obstruction. She was managed conservatively with lacrimal sac massage and provided with refractive correction while she simultaneously underwent multiple surgeries for correction of clubfoot and craniosynostosis. The second patient presented with cleft lip, cleft palate, multiple constriction bands in upper limbs and fingers with unilateral microphthalmos, microcornea, typical iris coloboma, and retinochoroidal coloboma, very similar to a case reported in literature. These 2 cases provide an overview of the clinical spectrum of ophthalmic manifestations along with their staged optimum rehabilitation.
羊膜带综合征是一种罕见的先天性疾病，由胎儿部分（通常是肢体或手指）在子宫内被困于纤维性羊膜带中引起，表现为复杂的多系统异常。作者报告了2例患有羊膜带综合征的儿童，他们被送至作者所在儿童医院的眼科。其中1例表现为内眦间距增宽、并指、脚趾截断以及单侧溢泪，诊断为先天性鼻泪管阻塞。对其进行了泪囊按摩的保守治疗，并给予屈光矫正，同时她还接受了多次手术以矫正马蹄内翻足和颅骨缝早闭。第二例患者表现为唇腭裂、上肢和手指多处缩窄带，伴有单侧小眼、小角膜、典型虹膜缺损和视网膜脉络膜缺损，与文献报道的一例非常相似。这2例病例概述了眼科表现的临床范围及其分阶段的最佳康复情况。
