A retinal detachment case with a delay in diagnosis due to unilateral lens coloboma and bilateral ectopic pupil/ Iki tarafli ektopik pupil ve tek tarafli lens kolobomlu olguda gec taninan retina dekolmani

A 29-year-old female patient was admitted with the complaint of decreased vision in the left eye for the last 9 months. The visual acuity was 0.4 in the right eye and hand movements in the left eye. Biomicroscopic examination revealed ectopic pupils in both eyes and lens coloboma in the left eye; her right lens was normal. There was total retinal detachment in the left fundus. Optic disc, macula, and peripheral retina were normal in the right eye at her fundus examination. In our case, reduction of vision in the left eye was associated with ectopic pupil at various centers and this situation has led to delay in the diagnosis. Therefore, the importance of careful retinal examination should be kept in mind in cases in which the reduction of vision does not correlate with clinical picture. (Turk J Ophthalmol 2014; 44: 75-7) Key Words: Ectopic pupil, coloboma, ocular, retinal detachment Yirmi dokuz yasinda bayan hasta son 9 aydir sol gozde az gorme yakinmasi ile basvurdu. Gorme keskinligi sag gozde 0.4, sol gozde el hareketleri seviyesindeydi. Biyomikroskopik muayenesinde bilateral pupil ektopisi ve sol goz lensinde kolobom oldugu goruldu, sag goz lensi normaldi. Fundus muayenesinde sol gozde total retina dekolmani vardi. Sag goz fundus muayenesinde optik disk, makula ve periferik retina normaldi. Olgumuzun sol gozundeki gorme azligi cesitli merkezlerde pupil ektopisine baglanmis ve bu durum tanida gecikmeye neden olmustur. Bu nedenle, klinik tablo ile uyumlu olmayan gorme azliginda tum retinanin dikkatlice degerlendirilmesinin onemi unutulmamalidir. (Turk J Ophthalmol 2014; 44: 75-7) Anahtar Kelimeler: Ektopik pupil, okuler kolobom, retina dekolmani