Prenatal description of retinal coloboma

J Gynecol Obstet Hum Reprod. 2020 Sep;49(7):101746. doi: 10.1016/j.jogoh.2020.101746. Epub 2020 May 11.

Abstract

Retinal coloboma is a rare condition which is difficult to diagnose in foetuses. It can cause blindness. It can be isolated or associated with other malformations in various syndromes. Our objective is to describe the different prenatal ultrasound findings and management of coloboma. We describe a case of prenatal ultrasound diagnosis of retinal coloboma at 27.5 weeks of gestation. Our case adds to the 8 previously reported in the prenatal ultrasound literature, which together illustrate that microphthalmia is the main associated sign, present in 66.6% (6/9) of cases followed by retro-orbital cysts (44.4%) (4/9). These two ultrasound findings should alert us to a close examination of the eye to look for a posterior retinal cleft, the main direct sign of a chorioretinal coloboma.

Keywords: AICARDI; CHARGE syndrome; Ophthalmic disease; Prenatal diagnosis; Retinal coloboma; ULTRASOUND.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Coloboma / diagnostic imaging*
  • Coloboma / embryology*
  • Cysts / diagnostic imaging
  • Cysts / embryology
  • Female
  • Gestational Age
  • Humans
  • Orbit
  • Pregnancy
  • Retinal Diseases / diagnostic imaging*
  • Retinal Diseases / embryology*
  • Ultrasonography, Prenatal