PMC6109858_01
Micropthalmia of the left eye
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On referral, physical examination revealed non-visual microphthalmia of the left eye (Figure 1) and right-sided hemiparesis.
A T2-weighted image in the left parasagittal plane. Note: the left rostral rhinencephalon protruding through the cribriform plate (arrow) into the left caudal nasal cavity. High signal fluid is present within the left caudal nasal cavity and ventral meatus
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MRI revealed protrusion of the left rostral rhinencephalon through the left cribriform plate into the left caudal nasal cavity consistent with a left frontoethmoidal encephalocele (Figure 2).
A T2-weighted image of the rostral brain in the dorsal plane. Note: the left rostral rhinencephalon protruding into the left caudal nasal cavity (blue arrow). There is a small amount of high signal fluid present adjacent to the rhinencephalon. The left globe (yellow arrow) is reduced in size, elliptical in shape and the lens is absent
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This was consistent with congenital microphthalmia with aphakia (Figure 3).