We have expierenced a rare case of coloboma of the lower lid combined with epidermoid ine lusion cyst. We removed the epidermoid inclusion cyst and repaired the coloboma with ocr a new techniqe using a triangular flap and achieved satisfactory result. We reviewed the literatures and discused this rare case.
Coloboma*

Microphthalmos is a uncommon congenital ocular anomaly and the term is justified in that in all cases the eyes are smaller than normal. Microphthalmos is classified as various forms according to degrees of developmental abnormality. The authors experienced a case of microphthalmos with a large cyst in one eye and colobomatous microphthalmos in the other eye.
Coloboma ; Microphthalmos*

Macular coloboma is a rare atypical form of choroidal coloboma which develop secondary to intrauterine infection or developmental abnormality of the eye. These are usually oval or round with well defined margin sized from less than 1 disc diameter to 10 disc diameters. The macular coloboma was classified into pigmented type, non-pigmented type, and type associated with presence of abnormal vessels. We experienced two cases of macular coloboma, without any family history or other associated physical abnormalities. The first case showed pigmented type in the right eye and intermediated type between pigmented and non-pigmented type in the left eye and the second case showed macular coloboma with abnormal vessels.
Choroid ; Coloboma* ; Humans

Congenital cryptophthalmos is very rare, according with Duke-Elder's System of Ophthalmology(Volume 3, Part 2) some 50 cases having been recorded since Zehender and Manz's(1872) original observation. I observed the congenital ocular deiermities in siblings; out of 10 siblings, 2 were affected. A 15-year old girl had cryptophthalmos unilaterally with other gross anomalies of the face. One of her brother (27-year old) had congenital microblepharon, coloboma of eyelids, microphthalmos and symblepharon bilaterally. The surgical amelioration of cryptophthalmos was attempted but it was impossible.
Adolescent ; Coloboma ; Eyelids* ; Female ; Humans ; Microphthalmos ; Siblings*

The authors performed reconstructive surgery for three cases of extensive upper and lower lid defects using modified Hughes procedure during the past one year. Two cases were upper lid reconstruction for the recurrent sebaceous carcinoma and the upper lid coloboma due to thermal bum. The other one was the adenoid cystic carcinoma of the lower lid. The first stage of this procedure was performed by tarsoconjunctival flap. The second procedure was performed after 6 weeks. This lid sharing technique was excellent for both cosmesis and lid function. All of the three patients have been very happy without any complications such as malposition of the lid margin, lid retraction or blepharoptosis.
Blepharoptosis ; Carcinoma, Adenoid Cystic ; Coloboma ; Humans

Subretinal neovascular membrane associated with retinochoroidal colooma is a rare finding. The authors report a case of retinochoroidal coloboma associated with subretinal neovascular membrane, which was treated with Yellow Dye laser photocoagulation (wave length: 590 nm, spot size: 150-200 micro gram, power: 200-300 mW, shooting time: 60, G3 coagulation).
Coloboma* ; Lasers, Dye ; Light Coagulation ; Membranes*

Methods: This is a report of a case of cryptophthalmos seen at the University of the Philippines-Philippine General Hospital (UP-PGH). Differential diagnosis and management options are discussed. Results: A 12-day old boy presented with no right palpebral fissure, eyelashes, or eyebrow. The skin overlying the right orbit was continuous from the forehead to the cheek. Under this skin was a 17 mm x 15 mm soft, round, movable mass anterior to the globe. The left upper lid was colobomatous with no eyebrow and fornix. The left cornea measured 9 mm x 6 mm with exposure keratitis and large ulcer. Ultrasound of the right orbit identified the presence of the right globe with normal posterior segment. Cranial computed tomography (CT) showed a cystic mass anterior to the right globe with absent lens. Visual-evoked response of the left eye established nonspecific severe optic-nerve damage, delayed visual-pathway maturation and visual-pathway affectation. Conclusion: Management of complete cryptophthalmos is difficult and requires separation of the lids and placement of mucous membrane grafts to allow for fitting of prosthesis. Reconstruction of the lid coloboma is necessary to prevent exposure keratitis. Genetic counseling is also important in the management of cryptophthalmos.
Human ; Male ; Child ; FRASER SYNDROME ; COLOBOMA ;

PURPOSE: Congenital upper eyelid defect is rare anomaly whether it is compared with syndromic anomaly or not. It has many clinical manifestation in the extent, location. Many operation procedures such as simple closure, semicircular rotation flap, Cutler Beard procedure, lower lid rotation flap, etc can be used to reconstruct eyelid defects. We intend to introduce a simple, congenital eyelid defect which was not compared with syndromical anomaly, ophthalmic complication. METHODS: Our experience is a case of 19 years old female who had a upper eyelid coloboma without any other anomalies. we could not find any skeletal deformity in orbital CT scan. she had no ophthalmic problem. we reconstructed the defect with bilateral marginal flap after deepithelization of supramarginal area and tarsal reposition. RESULTS: There were no visible deformity of lid lining. postoperative scar was favorable. satisfactory results were obtained in cosmetic and functional aspects. CONCLUSION: Upper lid coloboma without other anomalies is rare. we obtained satisfactory outcome as treated this rare case with marginal flap advancement.
Cicatrix ; Coloboma ; Congenital Abnormalities ; Cosmetics ; Eyelids ; Female ; Humans ; Orbit

The authors observed clinically typical case of unilateral coloboma of the optic disc. This patient, 5 years old Korean boy, visited to our clinic with the chief complaints of visual disturbance and intermittant exotropia of left defecting eye. The optic disc was enlarged about 2.5 times of normal optic disc diameter excavated about 7.0 Diopters in depth. The vision of colombomatous left eye was 20/50(n.c.) but the cause of defective vision was not evaluated certainely whether it might be due to coloboma itself or slight posterior subcapsular opacity of the lens.
Child, Preschool ; Coloboma* ; Exotropia ; Humans ; Male ; Optic Nerve*

Rarely, break in the non-pigmented epithelium in the pars plicata can occur and sometimes develop into retinal detachment. We experienced a case of retinal detachment associated with lens coloboma in 34-year-old male. A break in the non-pigmented epithelium in pars plicata was found with retinal detachment. We treated the break by cryoapplication, scleral buckling and encircling.
Adult ; Coloboma* ; Epithelium ; Humans ; Male ; Retinal Detachment* ; Retinaldehyde* ; Scleral Buckling