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Ophthalmic Images
July 14, 2016

Giant Ciliary Staphyloma 60 Years After Fireworks Injury

Author Affiliations
  • 1Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania
JAMA Ophthalmol. 2016;134(7):e160824. doi:10.1001/jamaophthalmol.2016.0824

A woman in her late 70s sustained a fireworks injury to the right eye as a teenager. Vision loss was immediate, and she had no surgical intervention. Low-grade ocular pain ensued. Forty years later, a lump was noted in the superior fornix that slowly expanded. On examination, visual acuity was no light perception OD and 20/20 OS. The right eye displayed a giant ciliary staphyloma encompassing 6 clock hours, 16 mm in elevation and draped with Tenon fascia and conjunctiva (Figure, A).1,2 Computed tomography demonstrated giant superior staphyloma and calcified lens remnant (Figure, B). Given her history and findings, enucleation was performed. The thin overlying tissues were carefully lifted, the globe was removed intact, and an implant was placed.

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