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A 60-year-old man was evaluated for nasal congestion and ocular itchiness that had been ongoing for several years. Examination was unremarkable, showing normal visual acuity, except for symmetric defects in the iris of both eyes (Panels A and B). The patient reported no history of eye injury or eye surgery, having had "keyhole" pupils for as long as he could remember. The results of slit-lamp and fundus examinations were normal, and the patient had normal neurocognitive development. On the basis of these findings, a diagnosis of isolated bilateral iris coloboma was made. His nasal and ocular symptoms were found to . . . [Full Text of this Article] |
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