A CASE REPORT OF ISOLATED INFANTILE HEMANGIOMA WITH MICROPHTHALMOS Purpose: To report a rare case of infantile facial hemangioma with orbital extension associated with microphthalmos and high intraocular pressure of the left eye. Case: A full term 1-day-old girl presented with left sided facial hemangiomas since birth. Observations: Findings include large left-sided facial hemangiomas with orbital extension enveloping the left lateral rectus and optic nerve. Clinical examination showed no involvement of the upper and lower eyelid. Cycloplegic refraction showed anisometropia between the two eyes. The axial length of the left eye was found to be significantly shorter compared to the right eye, and intraocular pressure of the left eye was high. Conclusions: Infantile facial hemangioma may be present with orbital extension without any eyelid involvement, and associated with microphthalmos of the left eye with no other systemic abnormalities.

Congenital cataract is a major cause of preventable blindness in children. It can be either hereditary or non-hereditary. In this case series, we present three cases of congenital cataract with a strong family history. The grandparents and parents of these patients had cataract diagnosed in late childhood whilst the patients in this case series were diagnosed with congenital cataract earlier. There was no history of consanguineous marriage in any of the families. These cases show that, in the presence of a strong family history, a child will present with congenital cataract earlier in their life. Hence, babies from such families should be screened at birth and at regular intervals within the first year of life to enable early diagnosis and subsequent surgical intervention to reduce the incidence and burden of amblyopia.