Phthisis bulbi

Case contributed by Antonio Rodrigues de Aguiar Neto , 24 Jun 2019
Diagnosis almost certain
Changed by Ian Bickle , 25 Jun 2019

Updates to Study Attributes

Findings was changed:

An axial non-contrast CT shows leftLeft phthisis bulbi with a small, shrunken left globe, with the thickened sclera, irregular contour,  coarse coarse dystrophic calcifications, increased attenuation in vitreous, and enophtalmosenophthalmos.

Updates to Study Attributes

Findings was changed:

MRI reveals a heterogeneous small, shrunken, calcified, deformed and irregularly shaped left globe, with enophthalmos in this- this is the end-stage of a degenerative globe (phthisis bulbi).

Updates to Case Attributes

Body was changed:

Phthisis bulbi (PB) is a generic descriptive term that represents an end-stage eye disease, which is characterized by an anatomically disfigured, atrophyatrophic, and a shrunken globe with disorganization of the eyeball and intraocular contents 1,2,3,4. This condition results from wound healing secondary to various causes that may include inflammation, infection, chronic retinal detachment, trauma, complications from surgery, vascular disease, and malignancy1,2,3,4.

CT imaging scan of the eye reveals an irregular, scarred shrunken globe, and dense internal calcification 2,3,5,6. These globes are easily recognized on MRI by their characteristic morphology, as well as by their altered signal intensity patterns, reflecting iron and other paramagnetic ion deposition along with the dystrophic calcification 2,3,4.

Case courtesy

  • Erick Cavalcante, MD - PGY-3, Radiology Resident, Department of Radiology
  • Antonio Rodrigues de Aguiar Neto, MD - Radiologist, Department of Radiology
  • Hospital da Restauração – Recife, PE – Brazil
  • -<p><a title="Phthisis bulbi" href="/articles/phthisis-bulbi">Phthisis bulbi</a> (PB) is a generic descriptive term that represents an end-stage eye disease, which is characterized by an anatomically disfigured, atrophy, and a shrunken globe with disorganization of the eyeball and intraocular contents <sup>1,2,3,4</sup>. This condition results from wound healing secondary to various causes that may include inflammation, infection, chronic retinal detachment, trauma, complications from surgery, vascular disease, and malignancy <sup>1,</sup><sup>2,3,4</sup>.</p><p>CT imaging scan of the eye reveals an irregular, scarred shrunken globe, and dense internal calcification <sup>2,3,5,6</sup>. These globes are easily recognized on MRI by their characteristic morphology, as well as by their altered signal intensity patterns, reflecting iron and other paramagnetic ion deposition along with the dystrophic calcification <sup>2,3,4</sup>.</p><p><strong>Case courtesy</strong></p><ul>
  • +<p><a href="/articles/phthisis-bulbi">Phthisis bulbi</a> (PB) is a generic descriptive term that represents an end-stage eye disease, which is characterized by an anatomically disfigured, atrophic, and a shrunken globe with disorganization of the eyeball and intraocular contents <sup>1,2,3,4</sup>. This condition results from wound healing secondary to various causes that may include inflammation, infection, chronic retinal detachment, trauma, complications from surgery, vascular disease, and malignancy <sup>1,</sup><sup>2,3,4</sup>.</p><p>CT imaging scan of the eye reveals an irregular, scarred shrunken globe, and dense internal calcification <sup>2,3,5,6</sup>. These globes are easily recognized on MRI by their characteristic morphology, as well as by their altered signal intensity patterns, reflecting iron and other paramagnetic ion deposition along with the dystrophic calcification <sup>2,3,4</sup>.</p><p><strong>Case courtesy</strong></p><ul>

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