How is coloboma diagnosed?
The diagnosis of coloboma of the eye is normally a so-called gaze diagnosis. With the practiced gaze of the examiner, the formation of a cleft in the affected eye sections is noticeable. If the iris (iris) is affected, the coloboma can be seen very easily.
In order to be able to make an exact estimate of which parts of the eye are affected, further examinations can be performed. For example, the slit-lamp examination is used to assess the anterior parts of the eye. To look at the back of the eye, on the other hand, a so-called funduscopy is most suitable.
What are the accompanying symptoms?
The therapy of coloboma depends on the underlying cause and also depends on which structures are affected. The most common variant is the formation of a cleft in the iris. If this occurs without other structures being affected, the disease often does not require treatment.
If, on the other hand, there are disturbances in the functional axis of vision of the eye (for example at the lens or the retina), therapy is often advisable to improve vision in the affected eye. However, a precise treatment plan is complex and must be drawn up very individually depending on the underlying disease and the resulting malformation. A more clear-cut therapy for acquired coloboma of the eye is, on the other hand, the therapy of the acquired coloboma.
This arises from operations and injuries. Ideally, the development of colobomas should be avoided during surgery, as this can lead to impaired vision. If the coloboma does occur in the eye, the treatment is similar to that of a coloboma after an injury.
In the case of an injury, an attempt is made to suture the injured structures back together by means of minor surgical interventions on the eye. If this does not succeed, some structures of the eye can be replaced artificially. This applies, for example, to the lens of the eye. This is particularly important for sharp vision. If the lens function is disturbed due to coloboma, an artificial lens can be inserted into the affected eye, for example.
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