I mentioned the case last week of an infant with morning glory in one eye and birth weight well beyond 1500gm that shows stage 2 in the morning glory left eye and full vascularization in the right eye.
The B-scan shows the excavation of the coloboma.
I took the photo with the infant awake and wiggling. The stage 2 is very obvious on the exam, but i had to increase the contrast to make it clearer on the photo below
The lesson: The weight and age screening rules are imperfect especially when the child or eye is dysmorphic.
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