Presentation
Histopathological examination of the enucleated left eyeball demonstrated that extremely thin sclera adjacent to the corneal limbus resulted in anterior staphyloma, and ectopic osteocartilaginous tissues were present in the posterior sclera. [ncbi.nlm.nih.gov]
The common sites affected are nose and nasopharynx, although it may also be present on the eye, ear and even genitalia in both sexes. [go.gale.com]
Within 1 year of follow-up the patient presented a partial staphyloma reduction, 9x9x2.5 mm, and the patch detached from the lesion. A novel surgical approach was done reducing the corneal patch and no recurrence was seen after 9 months. [pesquisa.bvsalud.org]
Eyes
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Scleral Disease
Ultrasound biomicroscopy in the assessment of anterior scleral disease. Am J Ophthalmol. 1993;116:628-35. 3. Shields JA, Shields CL, Lavrich J. Congenital anterior scleral staphyloma in an otherwise normal eye. [oftalmoloji.org]
Keywords: Optic disk drusen; Scleral diseases; Retina; Ultrasonography; Congenital peripapillary staphyloma; Retinography; Autofluorescence Introduction O ptical disc drusen are acellular deposits located both intracellularly and extracellularly, first [scielo.br]
Destructive corneal and scleral disease associated with rheumatoid arthritis. Medical and surgical management. Cornea. 1995;14:408–17. 9. Waheed NK, Miserocchi E, Foster CS. Ocular concerns in juvenile rheumatoid arthritis. [aafp.org]
Face, Head & Neck
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Epistaxis
There was no history of trauma, epistaxis, close contact with animals, or similar masses elsewhere in the body. No contributory medical illnesses were found during the investigation. [go.gale.com]
The growth bleeds easily to touch and there is usually a history of epistaxis. On the eye lids it appears as painless masses of exuberant villous polypi, pedunculated or sessile with no infiltration at the base. [ijo.in]
Workup
Workup, Diagnosis and Treatment Figure 3. (A) Fluorescein angiography and (B) indocyanine green angiography at 1 minute, 9 seconds after injection showing a slight macular window defect with associated hypercyanescence. [reviewofophthalmology.com]
[…] infection Streptococcal infection Staphylococcal infection Aspergillosis Leprosy Others Physical agents (irradiation, thermal burns) Chemical agents (alkali or acid burns) Mechanical causes (trauma, surgery) Lymphoma Rosacea Unknown Table 7-8: Laboratory workup [oculist.net]
Ultrasound
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Enlargement of the Liver
The regional glands were not enlarged and the liver was not palpable. At the upper inner corner of the swelling there was a reddish conjunctival mass over it. It was 6 mm x 4 mm in dimensions, with 6 to 7 yellowish dots over it, of 1-2 mm diameter. [ijo.in]
Treatment
Treatment was conducted by conjunctival resection and tectonic corneoscleral graft (13x13mm) over the staphyloma. Within 1 year of follow-up the patient presented a partial staphyloma reduction, 9x9x2.5 mm, and the patch detached from the lesion. [ncbi.nlm.nih.gov]
Put the very latest scientific and genetic discoveries, diagnostic imaging methods, drug therapies, treatment recommendations, and surgical techniques to work in your practice. [books.google.it]
Giacinto C...Tognetto D 30984418 2019 3 Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report. 61 Costa EF...Silva GEB 29486755 2018 4 Complications Assoicated with MIRAgel for Treatment [malacards.org]
There is no specific treatment for this condition. This is carefully monitored for rare complications, such as neovascularization (bleeding). [laicare.net]
Prognosis
AF images are helpful in these patients to confirm the presence of the MH, which has a poorer prognosis. [mivision.com.au]
Sclerokeratoplasty can restore the globe structurally but has poor visual prognosis. From the Department of Ophthalmology, University of Florida, Gainesville, FL. [journals.lww.com]
The visual prognosis is also poor. Clinical features I. Presentation is with gradual onset of pain and localized redness. [archive.org]
Posterior scleritis Nodular scleritis • One or more nodules • Less circumscribed than episcleritis • First dark red or bluish later becomes purple and semitransparent like porcelain • All around cornea-annular scleritis –grave prognosis Diffuse scleritis [medicalpptonline.blogspot.com]
Areas of avascularity usually result from an occlusive vasculitis and portend a poor prognosis. Scleral thinning often follows bouts of inflammation. [oculist.net]
Etiology
Etiology:- Weak outer coat of the eye due to ocular diseases ( as in perforated corneal ulcer or high axial myopia). Increased intraocular pressure ( in cases of absolute glaucoma). [thegeniusprof.com]
Suggested reading • Etiology, clinical features and management of Episcleritis • Etiology, classification, clinical features and management of Scleritis • Types & etiology of staphyloma. • Treatment of anterior scleritis. [slideshare.net]
While the etiology of posterior staphylomas has remained unclear, local choroidal factors and a locally decreased biomechanical resistance of the sclera against a posteriorly expanding Bruch's membrane have been one of the assumed pathogenic parameters [ncbi.nlm.nih.gov]
[…] revealed no retinal abnormalities unlike in previous cases reported from Sri Lanka; c) atypical histopathology that resulted in an initial mis-diagnosis of chronic inflammation with mucus cysts and a missed diagnosis of rhinosporidiosis; the rhinosporidial etiology [dovepress.com]
Epidemiology
The topics are uniquely treated in that they cover research at the laboratory bench as well as clinical applications and population-based approaches in epidemiology. [books.google.it]
Generally, myopia is the result of elongated axial length in the region of 25.5 or 26.5mm. (1,2) Degenerative myopia is also known as other terminology including: High Myopia Degenerative Myopia Pernicious Myopia Malignant Myopia EPIDEMIOLOGY The epidemiology [optometrystudents.com]
Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: an evidence-based systematic review. Am J Ophthalmol. 2014; 157:9-25 2. Hsiang HW, Ohno-Matsui K, Shimada N et al. [mivision.com.au]
Especially, conventional 50 fundus photos are widely used in many epidemiological studies. [retinalphysician.com]
In most early epidemiologic studies, the refractive error [ 5.0 diopters (D), 6.0 D, 8.0 D], the axial length ( 26.0 mm, 26.5 mm), or a combination of both have been used to define “PM”. [aes.amegroups.com]
Pathophysiology
Offers the most comprehensive content available on retina, balancing the latest scientific research and clinical correlations, covering everything you need to know on retinal diagnosis, treatment, development, structure, function, and pathophysiology. [books.google.it]
However, the pathophysiology might be similar to that of retinal detachment in combination with another excavated optic disc anomaly. [jamanetwork.com]
Prevention
/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% Some eye [medicbind.com]
Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light. [icdlist.com]
When this fungus affects the balbar conjunctiva covered by the lid, the polypoid growth outward is prevented by the pressure of the lid and the infection spreads along the bulbar conjunctiva and deep towards the sclera, resulting in thinning out or perforating [ijo.in]
Buckling adult eyes can stabilize axial length and minimize future macular degeneration, but it cannot prevent the continuation of degenerative processes, which are already at work. [lowvision.preventblindness.org]
Important role played by preventive examinations aimed at detection of myopia in high-risk groups, clinical examination of patients with myopia, preventative measures, rational and timely correction. [medicalformat.com]