Phthisis bulbi

Case contributed by Dr Ian Bickle

Presentation

Female patient attending for CT for chronic headache. Previous trauma to the left eye.

Patient Data

Age: 55
Gender: Female
CT

Shrunken, irregular left globe with dense internal calcification.  Normal right orbit.

Unremarkable intracranial appearances.

Case Discussion

Phthisis bulbi is an atrophic, scarred and disorganized globe that may result from a variety of severe ocular insults. Dystrophic calcification is common, as in this case.

Causes include post-trauma, infection, radiation therapy.

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