Journal of the Formosan Medical Association
Volume 106, Issue 11 , Pages 965-968, November 2007

Retinal Detachment in a Patient with Microphthalmos and Choroidal Coloboma

  • Muh-Shy Chen

      Affiliations

    • Department of Ophthalmology and National Taiwan University Hospital, and College of Medicine, National Taiwan University, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Muh-Shy Chen, Department of Ophthalmology, National Taiwan University Hospital, and College of Medicine, National Taiwan University, 7 Chung-Shan South Road, Taipei 100, Taiwan
    • ,
  • Tzyy-Chang Ho

      Affiliations

    • Department of Ophthalmology and National Taiwan University Hospital, and College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Ching-Chung Chang

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, and College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Tzu-Hsun Tsai

      Affiliations

    • Department of Ophthalmology and National Taiwan University Hospital, and College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Ping-Kang Hou

      Affiliations

    • Department of Ophthalmology and National Taiwan University Hospital, and College of Medicine, National Taiwan University, Taipei, Taiwan

Received 13 December 2006; received in revised form 13 March 2007; accepted 1 May 2007.

We report a rare case of retinal detachment with microphthalmos and choroidal coloboma. A 28-year-old man who had suffered from poor vision since early childhood was examined because of progressive deterioration of vision in his right eye. Examination of the anterior segment showed microphthalmos with microcornea and coloboma of the iris. Fundus examination revealed an inferior choroidal coloboma extending to the optic disc. The patient also had total bullous retinal detachment. Pars plana vitrectomy with silicone oil tamponade was performed, and the retina was reattached. Although rare, retinal detachment may develop in patients with microphthalmos and choroidal coloboma. Pars plana vitrectomy with additional scleral encircling buckle may be performed to treat this condition.

Key Words:  choroidal coloboma , microphthalmos , retinal detachment

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PII: S0929-6646(08)60069-8

doi:10.1016/S0929-6646(08)60069-8

Journal of the Formosan Medical Association
Volume 106, Issue 11 , Pages 965-968, November 2007

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