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What does minimum discrepancy in eye orbit mean?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My wife recently underwent an NT scan, and the report indicates that a minimum discrepancy is seen in the orbit of the eyes. We would like to seek clarification on what this finding means. Kindly help.

Thank you.

Answered by Dr. Vivek Chail

Hello,

Welcome to icliniq.com.

Thank you for your query. I read your query and understood your concern.

NT scan (Nuchal translucency scan) is done to look for the nuchal thickness in the posterior part of the neck area and the nasal bones and to assess the developing fetus in the early stage. At this time, the external physical parts are not well developed and complete assessment is possible only at 18 to 20 weeks. In the given report (attachments removed to protect the patient’s identity), it is mentioned that there is an asymmetrical orbital shape and the cause is not evident and is an isolated finding. To know more details about the developing fetus, the doctor has asked to do the first-trimester screening test of the maternal blood and to look for the risk of certain chromosomal abnormalities and take remedial measures.

I hope my advice will be helpful. Feel free to reach out if you have any further queries.

Thank you.

Patient's Query

Hello,

Thank you for your reply.

In the report, it is mentioned that there is a minimal discrepancy, so will it be a major cause? Also, the radiologist has asked to do an anomaly scan earlier in the 17th week. Is it right to do so? Kindly suggest.

Thank you.

Answered by Dr. Vivek Chail

Hi,

Welcome back to icliniq.com.

The discrepancy is minimal as mentioned in the report (attachments removed to protect the patient’s identity) but it is a subjective opinion of the doctor and measurements of both orbits are not specified. One cannot say if the problem is major or minor without doing a follow-up. For this reason, the doctor has asked to take an anomaly scan before the 17th week to allow the fetus to grow and then reassess the scan findings. Meanwhile, they have asked you to proceed with the first-trimester screening to assess the risks to the fetus. It is advisable to do another anomaly scan once 20 weeks are completed. In the end, I too am optimistic that the orbital size issue should be a minor entity and I recommend following current guidelines and pray that things turn out well for you.

Thank you.

Answered byDr. Vivek Chail

Medically reviewed byiCliniq medical review team

Published At January 1, 2024
Reviewed AtJuly 4, 2024

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