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December 1991

Subretinal Neovascular Membrane in an Infant With a Retinochoroidal Coloboma

Author Affiliations

Little Rock, Ark

Arch Ophthalmol. 1991;109(12):1650-1651. doi:10.1001/archopht.1991.01080120032015

Retinal detachments are the main cause of acquired visual loss in patients with retinochoroidal colobomas.1 These detachments are typically rhegmatogenous,1,2 although serous retinal detachments secondary to subretinal neovascularization have been reported in five adult patients with retinochoroidal colobomas.3,4 We report a case of subretinal neovascularization causing serous retinal detachment of the macula in an infant with a retinochoroidal coloboma.

Report of a Case.  —A 1-year-old girl was referred for evaluation of a coloboma in her right eye. Recently, her parents had noted her right eye drifting out, and they stated that she rubbed the eye frequently and squinted in bright light. She had no associated systemic anomalies and no family history of colobomas.On examination, the infant did not follow optokinetic stimuli with the right eye, but followed them normally with the left eye. A mild, inverse, afferent pupillary defect was present in the right eye, and

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