Gift Kyle K., 7

Gift Kyle Kabutha is a 7-year-old boy from Embu and the only son of a single mother. He is in Grade One, active and cheerful, enjoys playing football and dreams of becoming a doctor so that he can help treat and save others. Gift was born with abnormalities affecting his eyes and was initially taken to Kerugoya Hospital before being referred to PCEA Kikuyu Hospital. He was assessed by an ophthalmologist due to poor vision in both eyes that had progressively worsened. Examination revealed medially subluxated cataractous lenses, meaning both natural lenses had become cloudy and shifted from their normal position toward the inner side of the eyes, interfering with clear vision. Bilateral lensectomy and anterior vitrectomy were recommended. This involves surgically removing the abnormal lenses from both eyes and removing part of the gel immediately behind the lenses to clear the visual pathway and improve vision.

Gift Kyle came with poor vision. uses one side to see, o/e cornea -clear, AC d/q, pupil RRTL. lenses - ? subluxed dilate BE - medially subluxed lenses He was booked for lensectomy which was done on 18th and was successful.The patient has been under post -operative management until 20th when he was medically discharged after a positive recovery which will enable him to see and continue with his studies.

Gift has significant visual impairment in both eyes from subluxated cataractous lenses and requires bilateral lensectomy and anterior vitrectomy to clear the visual pathway and prevent further loss of vision. After removal of his natural lenses, he will be aphakic, meaning the eyes will have no natural lenses to focus light properly. He may therefore require aphakic spectacles or contact lenses for visual correction, with consideration of intraocular lenses in future. With timely surgery, appropriate visual correction and regular ophthalmology follow-up, his vision may improve. Prognosis is fair