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A coloboma (from the Greek κολόβωμα, meaning "defect") [1] is a hole in one of the structures of the eye, such as the iris, retina, choroid, or optic disc.The hole is present from birth and can be caused when a gap called the choroid fissure, which is present during early stages of prenatal development, fails to close up completely before a child is born.
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Microphthalmia is a congenital disorder in which the globe of the eye is unusually small and structurally disorganized. [2] [4] While the axis of an adult human eye has an average length of about 23.8 mm (0.94 in), a diagnosis of microphthalmia generally corresponds to an axial length below 21 mm (0.83 in) in adults.
The absence of the eye will cause a small bony orbit, a constricted mucosal socket, short eyelids, reduced palpebral fissure and malar prominence. [2] Genetic mutations, chromosomal abnormalities, and prenatal environment can all cause anophthalmia. Anophthalmia is an extremely rare disease and is mostly rooted in genetic abnormalities.
Aphakia is the absence of the lens of the eye, due to surgical removal, such as in cataract surgery, a perforating wound or ulcer, or congenital anomaly. It causes a loss of ability to maintain focus (accommodation), high degree of farsightedness (), [1] and a deep anterior chamber.
As per the CDC recommendations, newborns should undergo an eye examination while they are still in the hospital nursery. It is equally important for caregivers to continue monitoring their eyes and vision system throughout their childhood and adolescence. [21] Screening test: Snellen Chart. The following methods are used to test infant's vision:
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The eye not being tested is patched and the room lights are dimmed prior to commencement of the test. [12] The patient is positioned appropriately and comfortably against the forehead rest and chin rest. Minor adjustments to the head position are made to centre the pupil on the display screen to allow eye monitoring throughout the test.