One week intermittent frontal headache.
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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.
3 case question available
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.
- SMITH, Michelle; CASTILLO, Mauricio. Imaging and differential diagnosis of the large eye. Radiographics, 1994, 14.4: 721-728.
- ANDERSON, Robert L.; EPSTEIN, Gil A.; DAUER, Edward A. Computed tomographic diagnosis of posterior ocular staphyloma. American journal of neuroradiology, 1983, 4.1: 90-91.