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Scleral Staphyloma

Staphyloma Posticum


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]
  • 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.[ncbi.nlm.nih.gov]
  • A 14-year-old boy who used to swim in ponds, presented with a swelling under the left upper eye lid with drooping of the lid an defective vision in that eye. Scleral staphyloma of size 10x8mm was seen close to limbus.[eyetube.net]
  • Case presentation a 13-year-old girl with a progressively increasing black mass in the upper nasal part above the cornea of the left eye.[ncbi.nlm.nih.gov]
Chronic Infection
  • Rhinosporidiosis is a rare chronic infection of the mucous membranes caused by the Rhinosporidium seeberi. Approximately 15% of cases of rhinosporidiosis are ocular, occurring mainly in the tarsal conjunctiva.[ncbi.nlm.nih.gov]
  • Abstract Background Rhinosporidiosis is a rare chronic infection of the mucous membranes caused by the Rhinosporidium seeberi . Approximately 15% of cases of rhinosporidiosis are ocular, occurring mainly in the tarsal conjunctiva.[ncbi.nlm.nih.gov]
Metal Worker
  • Other chapters consider the high risk of ocular injury in some occupations, including engineers, drillers, riveters, iron dressers, blacksmiths, and hot metal workers.[books.google.com]
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]
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.[ncbi.nlm.nih.gov]

Workup

  • […] 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]

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]
  • Ideal for ophthalmic practitioners and allied health professionals alike, this indispensable resource is your comprehensive guide for the speedy diagnosis and treatment of the most common eye disorders.[books.google.it]
  • There is no specific treatment for this condition. This is carefully monitored for rare complications, such as neovascularization (bleeding). Hours & Info 505-662-9681 Monday-Friday: 8:30-5:00pm This slideshow requires JavaScript.[drshinblog.com]

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]
  • 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]
  • The presence of scleritis with peripheral ulcerative keratopathy has a poor prognosis ( 32 ).[entokey.com]
  • With progressive or malignant myopia prognosis is determined by the presence of complications (amblyopia, stafilom scleral hemorrhages in the retina or vitreous degeneration or retinal detachment).[medicalformat.com]

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]
  • […] 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]
  • 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]
  • Inflammations of sclera • Episcleritis (superficial) • Scleritis(deep) 9. episcleritis • benign recurrent inflammation of the episclera, • involving the overlying Tenon's capsule • but not the underlying sclera. 10. etiology • Unknown • Associated with[slideshare.net]

Epidemiology

  • 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]
Sex distribution
Age distribution

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]
  • Comprehensively updated to reflect everything you need to know regarding retinal diagnosis, treatment, development, structure, function, and pathophysiology, this monumental ophthalmology reference work equips you with expert answers to virtually any[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

  • 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]
  • 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]
  • 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]
  • 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.[mvrf.org]

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