Supporting children born without eyes or with underdeveloped eyes

The children we support at MACS may have one, or sometimes, a combination of all of the three rare eye conditions: Microphthalmia, Anophthalmia and Coloboma.

Some children are blind, others have a degree of light perception, and some may be blind in one eye with some, or even good, sight in the other eye. The conditions develop during pregnancy and are often associated with other birth defects such as endocrine or heart problems. Children may also be affected by learning and developmental difficulties and behavioural problems. 

Recent research (Shah et al, 2010) found that the incidence of these conditions in the first year of life is 10.4 per 100,000 live births. In real terms, this means that in the region of 80-90 children are born with these conditions in the UK every year.

Lily is wearing clear acrylic shapes​Microphthalmia

Microphthalmia literally means 'small eye'. Children may be born with one, or both eyes, small and underdeveloped. Some children may be blind, but other may have some residual sight or light perception. 

Anophthalmia 

Anophthalmia means an absence of the eye. As with Microphthalmia, a child may be born with one, or both eyes, missing from the eye socket.

Coloboma 

Coloboma means that there is a gap or cleft in one of the structures of the eye. Vision may or may not be affected depending on the part of the eye that is involved. 


Lily, pictured above, has bi-lateral Microphthalmia. She is wearing clear acrylic shapes to allow the maximum amount of light to get to her eyes.


Causes

We don't yet know exactly why Microphthalmia and Anophthalmia occur, but they are likely due to a disruption in the sequence of developmental steps that take place when the eye is forming during pregnancy. This could be as a result of an error within specific genes affecting eye development  and increasingly, more genes are being identified as important in the development of these conditions. Please see our Research page for more information.

External factors may influence the function of those genes and the conditions have been related to illness experienced during pregnancy such as chicken pox and rubella, or drugs such as thalidomide. Environmental factors such as insecticides and fungicides have also been linked to the development of the conditions.

Coloboma occurs as a result of congenital malformation, with a portion of the eye failing to complete its growth very early in pregnancy.

Treatment

Unfortunately, there is no treatment that will restore vision in children affected by Anophthalmia or severe Microphthalmia. All MACS children need to undergo repeated hospital visits and many have prosthetic eyes to ensure that the bone and soft tissue around the eye socket grows properly and to improve appearance. For more details, please visit our Prosthetic eye page.