PMC5144584_01
Anterior segment photo of the right (A) and left eye (B) in undilated pupil. Retroillumination view under mydriasis of the right eye (C) showing ectopia lentis with lens coloboma (arrow) and the left eye (D) showing ectopia lentis with lens coloboma and stretched zonules (arrow).
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F1
On slit lamp examination, cornea, iris, anterior chamber and lens appeared normal in undilated pupil in both eyes (Figure 1 A, B (Fig. 1)). However on examination under mydriasis, the right eye revealed ectopia lentis with superonasal subluxation extending from 5 to 12 o'clock with lens coloboma at lens equator (Figure 1 C (Fig. 1)). The left eye revealed ectopia lentis with superonasal subluxation and lens coloboma inferiorly (Figure 1 D (Fig. 1)).
Posterior segment photograph of the right (A) and left (B) eye showing pigmentary changes at the fovea
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F2
The fundus examination of both eyes revealed pigmentary changes at the fovea, which could also contribute to a decreased visual acuity (Figure 2 (Fig. 2)).