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Images of highly myopic eyes with macular staphyloma.

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posted on 2019-06-10, 17:41 authored by Noriko Tanaka, Kosei Shinohara, Tae Yokoi, Kengo Uramoto, Hiroyuki Takahashi, Yuka Onishi, Shintaro Horie, Takeshi Yoshida, Kyoko Ohno-Matsui

(A) Fundus photograph of the left eye of an 18-year-old young woman with an axial length of 27.0 mm showing peripapillary diffuse chorioretinal atrophy (PDCA). (B) Vertical WF-OCT section across the fovea shows a slight elevation of the inner scleral curvature indicating the edge of the staphyloma (arrow). The sclera is posteriorly dislocated more central from the staphyloma edge. The choroid gradually thins toward the edge of the staphyloma and gradually re-thickens toward the posterior pole. The inner sclera is slightly displaced posteriorly (arrowheads) in the area with re-thickening of choroid. (C) In the adjacent OCT section, the same features of the staphyloma edge (scleral inward protrusion and choroidal thinning and re-thickening) are seen. The inner sclera is slightly dislocated posteriorly (arrowheads) in the area with re-thickening of choroid. (D) Fundus photograph of the right eye of an 18-year-old young man with an axial length of 30.8 mm showing diffuse chorioretinal atrophy and multiple lacquer cracks. (E) Nasal choroid gradually thins toward the staphyloma edge and gradually re-thickens toward the optic nerve. Inward scleral protrusion at the edge of the staphyloma is not obvious. However, the sclera is posteriorly displaced in the area between staphyloma edge and the nasal edge of optic nerve. The macular sclera is also dislocated posteriorly, however no obvious OCT features of a staphyloma edge is seen temporal to the fovea.

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