case_images: PMC10481972_01
case_images: Clinical photograph of the patient. (a) Left upper eyelid coloboma at the lateral third of the eyelid and small-angle left exotropia, (b) Lateral view of the eyelid coloboma (black arrow) and skin appendages in front of the ear tragus (white arrow), (c) Attachment of the globe to the eyelid remnant with fibrotic tissue, (d) Skin appendages on the inner surface of the nasal columella (white arrow)
case_images: JCO-35-93-g001.jpg
case_images: PMC10481972_01_JCO-35-93-g001.jpg
case_images: joco_153_22-f001
case_images: A full-thickness coloboma was present in the lateral third of the left upper eyelid, which extended to the lateral canthus [Figure 1a and b]. A fibrotic tissue attached the globe to the eyelid remnant tissues in the coloboma site, which seemed to cause the mechanical restriction of the globe and strabismus [Figure 1a and c]. The additional findings in her examination included two skin appendages, one in front of the tragus of the left external ear [Figure 1b] and the other one in the left inner surface of the nasal columella [Figure 1d].
case_images: Clinical photograph of the patient after the operation. (a) Anterior view, (b) Lateral view
case_images: JCO-35-93-g002.jpg
case_images: PMC10481972_01_JCO-35-93-g002.jpg
case_images: joco_153_22-f002
case_images: In addition, exotropia and adduction limitation of the left eye improved after the operation [Figure 2].