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A 5-day-old-newborn with a large right upper eyelid coloboma
Digital Journal of Ophthalmology 2017
Volume 23, Number 3
September 28, 2017
DOI: 10.5693/djo.03.2017.08.001
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Dalia V. Zhang, BS | Cleveland Clinic Cole Eye Institute, Cleveland, Ohio
Rao V. Chundury, MD, MBA | Glick Eye Institute, Indiana University, Indianapolis, Ohio
Alexander D. Blandford, MD | Cleveland Clinic Cole Eye Institute, Cleveland, Ohio
Julian D. Perry, MD | Cleveland Clinic Cole Eye Institute, Cleveland, Ohio
Examination
On initial examination, the patient was found to have a right preauricular skin appendage, visual acuity of light perception in both eyes, a small right eye temporal limbal dermoid, and a right upper eyelid coloboma that involved approximately 70%-80% of the upper eyelid. There was near total exposure of the right corneal surface, with trace inferior punctate epithelial erosions but no epithelial defect. Anterior and posterior segment examinations were normal. Aggressive surface lubrication was initiated, and the patient was followed closely. At 2 weeks’ follow-up the patient developed a small right inferior corneal ulcer. Topical antibiotics were initiated, and the patient was scheduled for surgical repair (Figure 1).
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Figure 1
Large upper eyelid coloboma in neonatal patient with inferior corneal ulcer and ointment laden corneal surface.