Tuesday, July 5, 2011

Coloboma

When Matt was 3 days old i got a nice look at his eyes and i noticed that his left eye was not the same as his right. His left pupil was round on top, but drooped down to the bottom of his iris. I took this up with his pediatrician. He had never seen this prior to now as a "congenital problem" he had only seen it in "accident victims" so he sent us to Williamsport to see a specialist.

the specialist told us what we have is Coloboma. Which is...

The pupils of the eyes are not round, they’re more of a keyhole shape, or an upside-down teardrop. The condition is called coloboma, and is a congenital defect of the eye. Essentially, coloboma is a gap in part of the structure of the eye. The gap can be large or small, but normally appears in the bottom part of the eye. It is caused when a fetus’s eyes do not develop properly during pregnancy.

Coloboma forms while the baby grows in the womb. The eyes normally develop between the fourth and twelfth week of pregnancy, and start off as little buds. Usually the eye folds in on itself as it develops, which leaves a small gap called the foetal cleft. The foetal cleft helps maintain the blood supply to the developing parts of the eye. In the final stage of eye development during pregnancy, the cleft seals up from the back of the eye forwards and all the structures of the eye are formed. In an eye with coloboma, this gap does not fully close and remains in some of the structures of the eye. The condition occurs in about 1 in 10,000 births.

Our specialist took a good look at Matt's Eye and determined that the optic nerve is good and "normal" and that the retina is also good and "normal" so the only part affected by this condition is the actual iris. Although he does want to continue to watch Matt's eye as he grows to make certain that we do not develop any complications during growth.

right now, its just cosmetic

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