TY - CHAP M1 - Book, Section TI - Microphthalmia/Anophthalmia A1 - Bianchi, Diana W. A1 - Crombleholme, Timothy M. A1 - D'Alton, Mary E. A1 - Malone, Fergal D. Y1 - 2015 N1 - T2 - Fetology: Diagnosis and Management of the Fetal Patient, 2e AB - Key PointsMicrophthalmia, anophthalmia, and coloboma represent a spectrum of developmental anomalies of the eye known as MAC.Prevalence is 1 in 10,000 births. Approximately 10% of affected children have a chromosome abnormality. There may be an increased incidence of MAC in mothers older than age 40 and in multiple gestation.Nomograms exist for normal fetal eye measurements at 12 to 37 weeks’ gestation. Refer for targeted fetal anatomical evaluation because of high likelihood of associated anomalies.Strongly associated with chromosome abnormalities and single-gene disorders.Karyotype is indicated. If bilateral anophthalmia is present, consider DNA testing for SOX2 mutations.Refer for consultation with medical geneticist and pediatric ophthalmologist.Progress depends on severity of eye defects and presence of associated anomalies. Recurrence risk depends on syndromic diagnosis.Many developmental gene mutations are being identified as underlying basis of MAC. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - obgyn.mhmedical.com/content.aspx?aid=1106397181 ER -