|Year : 2021 | Volume
| Issue : 3 | Page : 453
Distant direct ophthalmoscopy of lenticular coloboma explained
Sudarshan K Khokhar, Amber A Bhayana, Priyanka Prasad, Vimal Vashistha, Shorya V Azad
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
|Date of Web Publication||02-Jul-2021|
Dr. Amber A Bhayana
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Khokhar SK, Bhayana AA, Prasad P, Vashistha V, Azad SV. Distant direct ophthalmoscopy of lenticular coloboma explained. Indian J Ophthalmol Case Rep 2021;1:453
|How to cite this URL:|
Khokhar SK, Bhayana AA, Prasad P, Vashistha V, Azad SV. Distant direct ophthalmoscopy of lenticular coloboma explained. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Jul 26];1:453. Available from: https://www.ijoreports.in/text.asp?2021/1/3/453/320084
On distant direct ophthalmoscopy, an asymmetric red reflex with an inferior notch [Figure 1]a was found in the left eye of a 30-year-old woman with irido-lenticular coloboma [Figure 1]b. The notch represents an area of localized high refractive error due to lenticular astigmatism and is seen above the margin of lens coloboma.,, The other eye was normal [Figure 1]c. Absence of zonules in a lens coloboma causes localized swelling of the lens due to loss of this stretch effect. This swelling of the lens causes irregular lenticular myopic astigmatism giving a different glow as compared to the rest of the lens.,
|Figure 1: (a) Distant direct ophthalmoscopy of the colobomatous eye showing steeper refractive mileu inferiorly, steepest at the notch; (b) slit-lamp microscopy of the same eye showing inferior lenticular coloboma (arrow); (c) distant direct ophthalmolscopy of the normal eye of the same patient|
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