Presentation
On examination, his presenting visual acuity was 6/6 in the right eye and 6/36 in the left eye improving to 6/6 with spectacles correction (-1.75 Dcyl at 120 0 sub). The right eye was normal. [ijo.in]
[Case Reports] Case Rep Ophthalmol 2016 May-Aug; 7(2):384-388Shimada Y, Horiguchi M CR We report a case of a 38-year-old man who presented with a recently self-detected lump under his left eyebrow. [unboundmedicine.com]
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]
Entire Body System
- Pallor
Subsequently, Avila et al. ( 18 ) developed a classification which included myopic retinopathy according to severity, from M0-normal-appearing posterior pole; M1-choroidal pallor and tessellation; M2-M1 changes with posterior staphyloma; M3-M2 changes [aes.amegroups.com]
Gastrointestinal
- Nausea
Extreme nausea. It is not fun to be legally blind. and feel completely and utterly helpless. I returned to the hotel room, took the medication for nausea (which was effective within 30 minutes), and slept for the rest of the day. [mdsupport.org]
Eyes
- Blue Sclera
↓ See below for more specifc codes relating to “ Other disorders of sclera ” Excludes2 blue sclera ( Q13.5 ) degenerative myopia ( H44.2 -) More specific codes for Other disorders of sclera H15.81 - Equatorial staphyloma H15.811 - Equatorial staphyloma [icd10coded.com]
Excludes: blue sclera (743.47) eicd10 379.11 Scleral ectasia Scleral staphyloma NOS eicd10 379.12 Staphyloma posticum eicd10 379.13 Equatorial staphyloma eicd10 379.14 Anterior staphyloma, localized eicd10 379.15 Ring staphyloma eicd10 379.16 Other degenerative [icd9.chrisendres.com]
2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 2 Excludes blue sclera ( Q13.5 ) degenerative myopia ( H44.2- ) Other disorders of sclera Approximate Synonyms Posterior scleral staphyloma Staphyloma posticum ICD-10-CM H15.839 is grouped within [icd10data.com]
Chapter 7: Uveal Tract & Sclera II. SCLERA Emmett T. Cunningham, Jr., MD, PhD, MPH BLUE SCLERAS The normal sclera is white and opaque, so that the underlying uveal structures are not visible. [oculist.net]
Br J Ophthalmol 54:263–268 PubMed Google Scholar Gregorates ND, Bartsocas CS, Papas K (1971) Blue sclera with keratoglobus and brittle cornea. [link.springer.com]
- Eye Pain
Ocular symptoms disappeared, including eye pain, foreign body sensation, and so on. Unfortunately, the fourth patient showed sclera rejection and partial dissolution at postoperative 1 month. [ykxb.amegroups.com]
[…] and discharge (Medical Encyclopedia) Eye pain (Medical Encyclopedia) Eye redness (Medical Encyclopedia) Fluorescein angiography (Medical Encyclopedia) Fluorescein eye stain (Medical Encyclopedia) Heterochromia (Medical Encyclopedia) Ophthalmoscopy (Medical [icdlist.com]
[…] fatigue Insomnia Eye pain Diminished vision Black or purplish-blue protrusion in front of the eye (anterior staphyloma) Diagnosis of Staphyloma An elaborated eye exam along with dilated fundal eye examination and ophthalmoscopy may expose the presence [krishnaeyecentre.com]
The eye pain was alleviated after half an hour; however, visual acuity was significantly decreased. [hindawi.com]
The eye pain was minimal, only soreness, so I did not take any pain killers. I was to stop the Diamox on Sunday so they could test the eye pressure on Monday to see if I still needed it. [mdsupport.org]
- Scleral Disease
Anterior scleral staphyloma associated with neurofibromatosis. Ann Ophthalmol. 1991;23:356-8. 2. Pavlin CJ, Easterbrook M, Hurwitz JJ, Harasiewicz K, Eng P, Foster S. Ultrasound biomicroscopy in the assessment of anterior scleral disease. [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]
- Blurred Vision
[…] eye movement, photophobia Decreased visual acuity, loss of color vision, central scotoma, afferent pupillary defect, swollen optic nerve IV steroids with positive MRI findings Exophthalmos Irritable and gritty eyes, double or blurred vision, photophobia [aafp.org]
A 52-year-old myopic male with a refraction of –8.00 D in both eyes (OU) noted blurred vision in his left eye (OS) for 4 years. [ojoonline.org]
Case Presentation On July 15, 2005, a 58-year-old man presented with sudden onset of severe pain and blurred vision in his right eye, without significant irritation, of one day’s duration. [hindawi.com]
- Diplopia
vision loss Graves' disease Proptosis/exophthalmos, lid lag and retraction, keratitis, decreased visual acuity, reduced visual fields, relative afferent pupillary defect, loss of color vision Myasthenia gravis Diplopia, eyelid ptosis Sarcoidosis Uveitis [aafp.org]
Diabetic retinopathy is an inherited disease, which is manifested by: diplopia, failure to accommodate, and fluctuating vision, loss of color vision and of visual field, defects of refraction, decreased visual acuity, bleeding of retinal blood vessels [giftedforyou.eu]
Neurologic
- Seizure
If the anesthetic is injected intra-arteial it can lead to a seizure or within the optic nerve sheath and it connects down to the brainstem causing severe respiratory depression. [coursera.org]
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]
Treatment
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]
One method of treatment is to monitor progression of the staphyloma. Many do not require treatment and remain stable over time. If there is observed thinning of the sclera, one treatment option is posterior scleral reinforcement (PSR). [eyewiki.aao.org]
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]
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]
Prognosis
AF images are helpful in these patients to confirm the presence of the MH, which has a poorer prognosis. [mivision.com.au]
Prognosis[2] Prognosis is good for patients with staphyloma, as progression is generally slow. Many do not need treatment and remain unchanged for years. [eyewiki.aao.org]
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]
PMID: 4453405 Prognosis Mizuno H, Suzuki H, Mimura M, Fukumoto M, Sato T, Kida T, Ikeda T J Med Case Rep 2022 Jan 29;16(1):36. doi: 10.1186/s13256-022-03252-7. [ncbi.nlm.nih.gov]
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]
Secondary etiologies such as trauma or infection can disrupt the structure of the sclera, placing the injured region at risk for subsequent scleral thinning, to eventual development of staphyloma. [eyewiki.aao.org]
[…] 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
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[3] Up to 9% of Asian and 2% of White population in the United States have pathologic myopia, which increases their likelihood of having concurrent posterior staphyloma. [eyewiki.aao.org]
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]
Pathophysiology[2] The etiology of the formation of staphylomas are unclear, however there is postulation that local choroidal factors and a decreased resistance of the sclera leading to a protruding Bruch’s membrane can result in staphylomas. [eyewiki.aao.org]
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]
In such lesions, as polypoid growth is prevented by the pressure of the lids, instead of growing out as a polyp, the oculosporidium spreads along the bulbar conjunctiva and deep towards the sclera. [ijo.in]
Thus, in the future, therapies targeting Bruch’s membrane may also become a promising approach to prevent staphyloma development. [retinalphysician.com]
Later procedures focused on modifying the axial length of the eye, by preventing elongation and staphyloma progression by placing grafts over the posterior part of the eye. [fr.bab.la]
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]