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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 630

Bowl in a bowl: A rare case of bilateral Curtin's type VI posterior staphyloma presenting with two different complications


Department of Retina and Vitreous, Aravind Eye Hospital, Pondicherry, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Roshni Mohan
Department of Retina and Vitreous, Aravind Eye Hospital, Thavalakuppam, Pondicherry - 605007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1821_21

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How to cite this article:
Mohan R, Yadav D, Behera SP. Bowl in a bowl: A rare case of bilateral Curtin's type VI posterior staphyloma presenting with two different complications. Indian J Ophthalmol Case Rep 2022;2:630

How to cite this URL:
Mohan R, Yadav D, Behera SP. Bowl in a bowl: A rare case of bilateral Curtin's type VI posterior staphyloma presenting with two different complications. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 26];2:630. Available from: https://www.ijoreports.in/text.asp?2022/2/2/630/342903



A 35-year-old myopic woman presented with progressive diminution of vision. The best-corrected visual acuity was 20/120 OU. The anterior segment was unremarkable. Fundus showed a central deep staphyloma within a subtle larger excavation at posterior pole OU. Detailed examination revealed scarred CNV at the inferior edge of inner staphyloma at the fovea in the right eye (OD), left eye (OS) showed full-thickness macular hole and posterior pole retinal detachment with myopic foveoschisis within inner staphyloma, both better appreciated on OCT [Figure 1].
Figure 1: (a) OD Posterior staphyloma (Black arrow), inner staphyloma (white arrow), scarred CNV (black asterisk). Inset SD-OCT through fovea - scarred CNV. (b) OS Posterior staphyloma(Black arrow), inner staphyloma (white arrow). Inset OCT - Myopic Foveoschisis, FTMH and detachment (white asterisk)

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Posterior staphyloma might affect approximately 1 billion population in 2050.[1],[2] Morphologically, it can be demonstrated by fundus photography, OCT, and orbital MRI.[3] Curtin's type VI, though rare, is associated with poor visual outcomes.[4] Although complications such as CNV and macular hole can be treated with variable prognosis, future therapeutic approaches for pathologic myopia should target to prevent and treat staphylomas before complications occur.

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.
Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology 2016;123:1036-42.  Back to cited text no. 1
    
2.
Ohno-Matsui K, Jonas JB. Posterior staphyloma in pathologic myopia. Prog Retin Eye Res 2019;70:99-109.  Back to cited text no. 2
    
3.
Ohno-Matsui, K. Proposed classification of posterior staphylomas based on analyses of eye shape by three-dimensional magnetic resonance imaging and wide-field fundus imaging. Ophthalmology 2014;121:1798-809.  Back to cited text no. 3
    
4.
Curtin BJ. The posterior staphyloma of pathologic myopia. Trans Am Ophthalmol Soc 1977;75:67-86.  Back to cited text no. 4
    


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