Bilateral High Myopia in Twins Children

Nanda W Anandita

Department of Ophthalmology, Faculty of Medicine, Brawijaya University, Saiful Anwar Hospital, Malang, East Java, Indonesia

Purpose: to report a problem case of high myopia in children

Method: We report of twin girls of 6 years old who were referred for evaluation of their sight in Malang Eye Clinic on September 19th 2009. There is no past illness history before. We examine their visual acuity, best corrected visual acuity, keratometry, and axial length. The eyes examination show almost similar condition. Right now they are treated with spectacle. The problem is what we should to do for the next step treatment for such this case which the axial lengths are become longer and longer as they grow .

Result: Child 1: visual acuity of the RE is 2/60 corrected S-11.00 C-2.25x 0° become 20/40, the LE is 2/60 corrected S-9.50 C-2.25 x 180°. The keratometry of the RE K1 43.00 D K2 45.75D, the LE K1 42.75D K2 46.50d. Axial length of the RE is 27.31mm while the LE is 26.73 mm.Child 2 : visual acuity of the RE is 2/60 corrected S-11.25 C-1.75 x0° become 20/40, the LE is 2/60 corrected S-9.00 C-2.00 x 0° become 20/40. The keratometry of the RE K1 41.87 D, K2 44.75D, the LE K1 42.12D K2 44.75 D. The Axial length of the RE is 27.80mm while the LE is 26.76 mm.

Conclusion: This case must be further discussed to avoid the further effects of high myopia caused by elongated of axial length of the eye ball in children.