Posterior staphyloma

Case contributed by Dr Cedric Bohyn

Presentation

One week intermittent frontal headache.

Patient Data

Age: 67 years
Gender: Female
CT

The left eye has a greater diameter (30 mm) in comparison to the right eye (26 mm). The enlargement is more pronounced in the anteroposterior axis.

In addition there is uveoscleral thinning on the posterior side of the left eye.

The optic nerve and extraocular muscles are symmetric and have a normal thickness. 

There are no intracranial or bony abnormalities.

Case Discussion

This case was a fundoscopic proven posterior staphyloma and severe myopia. The patient had a history of long-standing bad vision in the left eye with exophthalmia. Neurologic clinical examination was normal. So no clear cause of the headache could be demonstrated.

The typical anteroposterior enlargement of the eye together with the scleral thinning are typical signs of a posterior staphyloma, as seen in this case.

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Case information

rID: 60310
Published: 4th Jun 2018
Last edited: 7th Jun 2018
System: Head & Neck
Inclusion in quiz mode: Included
Institution: KU Leuven

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