To report the case of a child with triple X syndrome presenting with exotropia and chorioretinal coloboma.
Case summaryA one-year-old female infant presented with 35PD exotropia in the primary position. The patient had poor fixation of the right eye, and a fundus examination showed chorioretinal coloboma in the inferior region of her right eye. The patient also exhibited syndactyly of the right hand. Brain magnetic resonance imaging revealed a well-defined 2 cm cyst in the right cerebellum. Upon chromosomal study, the patient's karyotype was found to be 47, XXX.
ConclusionsWhen infants or children present with ophthalmologic findings such as strabismus and coloboma, systemic conditions and congenital problems should be considered.