COLOBOMA ASSOCIATED WITH VACTERL CHARACTERIZED BY ULTRA-WIDEFIELD OPTICAL COHERENCE TOMOGRAPHY.

Retin Cases Brief RepOct 28, 2026
Case ReportOphthalmologyPediatricsMedical GeneticsRadiology (Diagnostic)

David A Sutter, Yakub A Bayhaqi, Shuibin Ni et al.

✦ AI-curated · Sources linked

Case in brief

A 34-week-old infant admitted for repair of type C tracheoesophageal fistula with esophageal atresia and management of pelviectasis and low conus medullaris underwent routine retinopathy of prematurity screening. Investigational ultra-widefield optical coherence tomography incidentally showed a unilateral iris and peripapillary chorioretinal coloboma, alongside Zone III, Stage 0 retinopathy of prematurity. Imaging measured the coloboma excavation depth at 3.4 mm and axial length at 15.4 mm, yielding a relative excavation-to-axial-length ratio of 0.22, which suggested increased future retinal-detachment risk.

What made this case unusual

Ultra-widefield optical coherence tomography enabled geometric characterization of the coloboma, including a relative excavation-to-axial-length ratio that suggested increased retinal-detachment risk.

Diagnostic / clinical pearl

In an infant with VACTERL syndrome, ophthalmic screening may reveal iris and chorioretinal coloboma; ultra-widefield optical coherence tomography can characterize its dimensions.

Source

PubMed · PMID 41961004

Published in Retin Cases Brief Rep. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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