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J AAPOS ; 21(1): 73-75, 2017 02.
Article in English | MEDLINE | ID: mdl-27866070

ABSTRACT

We report the rare case of an 8-year-old boy with spontaneous scleral perforation secondary to an isolated congenital chorioretinal coloboma. Visual acuity was 20/200 and examination revealed severe hypotony with subcapsular cataract, complete exudative retinal detachment, hypotonous optic nerve swelling, and hypotony retinal fold. In the temporal periphery, there was a chorioretinal coloboma with a central full-thickness defect. The scleral defect was successfully treated with an autologous temporalis fascia graft. One year later, and after cataract surgery, visual acuity had improved to 20/20, with normal intraocular pressure.


Subject(s)
Choroid/abnormalities , Coloboma/diagnosis , Retina/abnormalities , Scleral Diseases/diagnosis , Child , Coloboma/surgery , Fascia/transplantation , Humans , Intraocular Pressure/physiology , Magnetic Resonance Imaging , Male , Rupture, Spontaneous , Scleral Diseases/surgery , Visual Acuity/physiology
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