Megalocornea Follow-up

Updated: Feb 17, 2020
  • Author: Mark Ventocilla, OD, FAAO; Chief Editor: Hampton Roy, Sr, MD  more...
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Follow-up

Further Outpatient Care

Patients with megalocornea should have regular examinations to detect glaucoma or cataract. Patients should also receive counseling regarding megalocornea as an X-linked recessive trait.

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Complications

Complications of megalocornea may include the following:

  • Lens subluxation

  • Early cataracts

  • Glaucoma (not congenital)

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Prognosis

The prognosis is excellent in simple megalocornea. Patients with anterior megalophthalmos will always be at risk for glaucoma and cataracts, which can be difficult to treat in these patients. The implementation of CRISPR (clustered regularly interspaced short palindromic repeats) may offer hope in the prevention of this disease.

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Patient Education

Advise parents of the potential for ocular complications and associated systemic conditions. Emphasize the importance of a thorough developmental evaluation and regular medical and ophthalmic follow-up care.

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