Eyelid Coloboma Clinical Presentation

Updated: Jul 30, 2018
  • Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Hampton Roy, Sr, MD  more...
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Presentation

History

See the list below:

  • Perinatal and pregnancy history

  • Family history of congenital eyelid colobomas or other congenital anomalies, especially facial (eg, cleft lip/palate)

  • History of other current birth defects

  • Pediatric review of systems

  • History of progressive corneal problems

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Physical

Perform a complete ophthalmic assessment, possibly under general anesthesia or at the time of surgical repair. Possible associated findings include the following:

  • Choroid - Coloboma

  • Conjunctiva

    • Symblepharon

    • Malformation of the caruncle

    • Symblepharon from the defect to the globe

  • Cornea

    • Exposure keratopathy

    • Opacities

    • Cicatrization

  • Eyelids

    • Trichiasis

    • Dermoid tumors

    • Dermolipomas

  • Lacrimal system - Obstruction proximal to the lacrimal sac

  • Lens

    • Cataract (anterior polar)

    • Subluxation

  • Sclera - Epibulbar dermoid tumor

  • Eyebrows - Defects

  • Iris - Coloboma

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Causes

An eyelid coloboma may occur either congenitally or as a result of trauma (eg, accidental, surgical).

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