The “Keyhole” Pupil Clinical significance of Ocular Coloboma

A 13-year-old girl was referred to our clinic for evaluation of a “keyhole” abnormality of her left eye. The patient’s past medical and ocular history was unremarkable. Ocular examination revealed a best-corrected visual acuity of 20/20 in the right eye and 20/200 in the left eye. The ocular exam of the right eye was unremarkable. The left eye revealed an in feronasal defect of the iris in the left eye (Figure 1). Intraocular pressure was 13mmHg in both eyes. Funduscopic exam in the left eye revealed a white, scarred area in the inferior quadrant with pigment deposition scattered through the lesion and its borders with the normal retina (Figure 2).

Source: The Journal of Pediatrics - September 13, 2021 Category: Pediatrics Authors: Stylianos A. Kandarakis, Konstantina Chronopoulou, Petros petrou, Ilias Georgalas Tags: Rediscovering the Physical Exam Source Type: research