Scleral buckle surgery - phthisis bulbi

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right visual loss. Had surgery for retinal detachment 10 years ago.

Patient Data

Age: 45 years
Gender: Male
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Axial
non-contrast
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Coronal
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Sagittal
non-contrast
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Axial bone
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Coronal
bone window
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Sagittal
bone window
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Info

Small atrophied and retracted right ocular globe with dystrophic calcification in keeping with a phthisis bulbi. Spontaneously hyperdense vitreous humour (vitreous haemorrhage).

A hyperdense ring encircling the right ocular globe (previous history of scleral buckle surgery).

Case Discussion

CT features of a phthisis bulbi in a patient who had a scleral buckle surgery for retinal detachment with vitreous haemorrhage 10 years prior.

Phthisis bulbi, also known as end-stage eye, is an atrophic scarred and disorganised non-functioning globe with dystrophic calcification that may result from a variety of severe ocular insults such as trauma, radiation, infection, retinal detachment or sequela of ocular inflammation.

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