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Bilateral severe microphthalmos with bilateral colobomatus orbitopalpebral cyst: accessibility of speciality eye-care and rehabilitation services in low and middle-income countries
  1. Suwarna Suman1,
  2. Arushi Kumar2,
  3. Hement Uttamraw Rathod1 and
  4. Taruna Yadav3
  1. 1Ophthalmology, All India Institute of Medical Sciences Jodphur, Jodhpur, India
  2. 2Dr S N Medical College and MDM Hospital, Jodhpur, Rajasthan, India
  3. 3Diagnostic and Interventional Radiology, All India Institute of Medical Sciences Jodphur, Jodhpur, India
  1. Correspondence to Dr Suwarna Suman; suwarnasuman{at}


A 12-year-old girl presented with an unusually large mass under the right lower eyelid and a smaller mass under the left lower lid since the last 6 months. The parents had noticed the absence of the right eyeball and a very small left eyeball and no vision in both eyes since birth but did not approach the healthcare system. The patient was diagnosed as a case of bilateral severe microphthalmos with colobomatous cyst with late presentation and was treated surgically. The parents were counselled for education and training of the child in schools for visually impaired. Early treatment and rehabilitation help patients lead a normal life in these cases. In rural areas, patients face challenges in getting access to the specialty eye-care services due to several barriers, including lack of availability and affordability. This case highlights the disparities in essential health services in low and middle-income countries.

  • ophthalmology
  • congenital disorders
  • global health
  • disability

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  • Contributors All the authors contributed to this article and involved in the management of the patient. SS and AK wrote the manuscript, collected the references, revised the manuscript and approved the finalised manuscript. TY was involved in the investigation; HUR was involved in workup and follow-up and assisted in surgery. SS performed the surgery and was involved in management and follow-up.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.