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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 629

Bilateral isolated optic disc coloboma with posterior staphyloma in a case of high myopia


1 Vitreo-Retina Consultant, Gombai Nethralaya, Neemuch, Madhya Pradesh, India
2 Vitreo-Retina, Dr. Vaidya Eye Hospital, Mumbai, Maharashtra, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Rajshri Hirawat
Vitreo-Retina Consultant, Gomabai Nethralaya, Neemuch, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2742_21

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How to cite this article:
Hirawat R, Vaidya H. Bilateral isolated optic disc coloboma with posterior staphyloma in a case of high myopia. Indian J Ophthalmol Case Rep 2022;2:629

How to cite this URL:
Hirawat R, Vaidya H. Bilateral isolated optic disc coloboma with posterior staphyloma in a case of high myopia. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 27];2:629. Available from: https://www.ijoreports.in/text.asp?2022/2/2/629/342977



A 22-year-old male presented with diminution of vision in both eyes with BCVA of 6/60 and 4/60 in the right and left eye, respectively (Refraction: OD –13 DS OS –18.5 DS). Ocular examination revealed an isolated optic disc coloboma and posterior staphyloma (AXL OD 26.6 mm, OS 27.8 mm, IOP 10- and 11-mm Hg in OD and OS respectively); along with focal nasal cataract in both eyes [Figure 1]a,[Figure 1]b,[Figure 1]c,[Figure 1]d. Although the fovea was spared, the low vision was possibly accounted for by the spill-over peripapillary atrophy onto the macula and disc coloboma. MRI brain in such cases is essential to rule out the systemic anomaly associated with cavitatory disc anomalies.[1],[2] Regular IOP monitoring is vital to avoid glaucomatous insult, as visual field and OCT–based monitoring would be ineffective in these anomalies.[1],[2]
Figure 1: (a) Right eye fundus image showing isolated disc coloboma with posterior staphyloma, peripapillary atrophy and pigmentary changes supertemporal to the colobomatous disc. (b) Left eye fundus image showing isolated disc coloboma with posterior staphyloma, peripapillary atrophic changes and pigmentary changes superior to the colobomatous disc. Additionally, no focal point of retinal vessel origin is noted in this anomalous disc. (c and d) Focal nasal nuclear sclerotic cataract in both right and left eye, respectively

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Acknowledgements

Dr Lingam Gopal.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Lingam G, Sen AC, Lingam V, Bhende M, Padhi TR, Xinyi S. Ocular coloboma—A comprehensive review for the clinician. Eye (Lond) 2021;35:2086–109.  Back to cited text no. 1
    
2.
Beby F. Systemic abnormalities in children with congenital optic disc excavations. Curr Eye Res 2015;40:450-5.  Back to cited text no. 2
    


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