Korean J Ophthalmol.  2009 Dec;23(4):312-314. 10.3341/kjo.2009.23.4.312.

A Case of Retinal Detachment in Colobomatous Macrophthalmos With Microcornea Syndrome

• Seung HK
• Kim HK
• Nam WH

• KMID: 754771
• DOI: http://doi.org/10.3341/kjo.2009.23.4.312

Abstract

We report a rare case of retinal detachment in colobomatous macrophthalmos with microcornea syndrome. A 25-year-old female who had suffered from poor vision in her left eye since early childhood and high myopia in her right eye (-11 D) visited our clinic because of a sudden deterioration of vision. Examination of the anterior segment showed microcornea with coloboma of the inferior pupil margin in the left iris. Fundus examination of the left eye revealed an inferior choroidal coloboma extending from the optic disc and macula. The patient also had total bullous retinal detachment. Pars plana vitrectomy with silicone oil tamponade was performed, and the retina was reattached. In the very rare condition of colobomatous macropthalmos with microcornea, retinal detachment may develop. Pars plana vitrectomy with additional silicone oil tamponade may be performed to treat this condition.

Keyword

Colobomatous macropthalmia; Microcornea; Retinal detachment

MeSH Terms

Adult
Choroid/*abnormalities
Coloboma/*complications/diagnosis
Cornea/*abnormalities
Female
Follow-Up Studies
Humans
Retinal Detachment/diagnosis/*etiology/surgery
Syndrome
Vitrectomy/methods

Figure

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  Fig. 1 Slit-lamp examination. (A) Right eye with normal cornea and iris. (B) Left eye with microcrnea (10 mm), shallow anterior chamber, and iris coloboma in the inferonasal pupillary margin.

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  Fig. 2 Fundus photography of the left eye shows inferior choroidal coloboma extending to the optic disc and macula, as well as bullous retinal detachment.

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