Abstract
Macular colobomata refer to circumscribed, excavated defects in the choroid and retina at the macular area associated with decreased vision. Previous reports have speculated various causes for its occurrence. Familial cases of macular coloboma have roused the possibility of genetic etiology. Macular colobomas associated with systemic and other ocular abnormalities have been attributed to be either embryological maldevelopment or inflammatory etiology. Macular colobomata associated with skeletal abnormalities have been reported frequently. We report a 14-year old boy with an unusual presentation of extensive bilateral macular coloboma with planovalgus feet dynamics and left foot drop due to anterior horn cell disease.
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