Journal of Nepal Medical Association (Feb 2023)

Bilateral Iridochorioretinal Coloboma Managed with Low Vision Rehabilitation: A Case Report

  • Basanta Singh,
  • Rinkal Suwal,
  • Rashmi Shrestha,
  • Sikshya Adhikari,
  • Sudip Karki,
  • Deepak Khadka

DOI
https://doi.org/10.31729/jnma.8023
Journal volume & issue
Vol. 61, no. 258

Abstract

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Ocular coloboma is a rare congenital disability. If involving the macula, it affects the patient’s vision and subsequently affects childhood development and quality of life in the future. Appropriate low vision aid and timely rehabilitation can provide the best possible quality of life for visually impaired children. We report a 9-year-old boy who presented with a diminution of vision in both eyes, and who was just enrolled in pre-school. He was diagnosed with bilateral iridochorioretinal coloboma associated with nystagmus and unilateral cataract. After all the necessary evaluation, a telescope was prescribed for distance and a dome magnifier for near. Furthermore, a peaked cap and photo grey lens were given for outdoor activities. This case highlights the importance of low vision intervention in a visually impaired child. Appropriate low vision aid and rehabilitation can improve patients’ lifestyle and academic performance who are diagnosed with iridochorioretinal coloboma.

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