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Ophthalmology and Visual Sciences

Pathologic myopia with bilateral posterior staphylomas

Pathologic myopia with bilateral posterior staphylomas

Category(ies): Retina, Vitreous
Contributor: Jesse Vislisel, MD
Photographer: Randy Verdick, FOPS

Pathologic myopia is defined as myopia over -8.00 D or an axial eye length >32.5 mm. These eyes may undergo progressive elongation with development of degenerative changes of the retina, retinal pigmented epithelium (RPE), and choroid. These photographs show the fundus findings in two eyes with a spherical prescription of -17.00 D. Note the tilted optic discs, peripapillary atrophy, central macular RPE thinning with several discrete regions of RPE atrophy in the left eye, and bilateral posterior staphylomas (the central maculae appear blurred as they are out of the plane of focus). The OCT images show the staphylomas more clearly as a bowing of the posterior structures of the eye.

Pathologic myopia fundus OD
Figure 1: Fundus OD.
Pathologic myopia fundus OS
Figure 1: Fundus OS.
Pathologic myopia OCT OD
Figure 1: Fundus OD.
Pathologic myopia OCT OS
Figure 1: Fundus OS.