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By Dr Supreme Goel
Chaithanya eye hospital and research institute Trivandrum Kerala
Co-author(s): Dr Manoj S, Head of departmentof Retina and Vitreous, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala - Uploaded on Apr 15, 2026.
- Last modified by Joshua Friedman on Apr 15, 2026.
- Rating
- Appears in
- Miscellaneous
- Condition/keywords
- RETINOCHOROIDAL COLOBOMA, DISLOCATED LENS
- Photographer
- Dr Supreme Goel
- Imaging device
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Fundus camera
OPTOS ultra-wide field color fundus photography - Description
- A 44 year-old male presents with a complex ocular anomaly. Left eye examination reveals iris and extensive retinochoroidal coloboma involving both the optic disc and macula, associated with a dislocated crystalline lens. The large excavated colobomatous defect with disc–macula involvement suggests a guarded visual prognosis, further compounded by lens displacement. The fellow (right) eye is aphakic following prior vitreoretinal surgery for a dislocated lens, with barrage laser marks surrounding a coloboma that involves the disc but spares the macula. This case highlights the coexistence of posterior segment coloboma with lens subluxation/dislocation, posing both anatomical and therapeutic challenges.
