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Photo Essay
August 2000

A Case of Peripapillary Staphyloma

Arch Ophthalmol. 2000;118(8):1138. doi:10.1001/archopht.118.8.1138

A 35-YEAR-OLD African American woman was referred by her internist for an asymptomatic abnormality of the right optic nerve. She had a history of myopia but no chronic medical problems.

On examination, her uncorrected visual acuity was 20/40 − 2 OD and 20/30 −2 OS. Her refraction was −1.00 + 0.75 × 10° OD with 20/20 + 3 visual acuity, and −0.50 + 0.75 × 5° OS with 20/20 + 3 visual acuity. External and slitlamp examination results were within normal limits. Intraocular pressures were 19 mm Hg and 18 mm Hg in the right and left eyes, respectively. Her posterior segment examination results were otherwise unremarkable except for a few vitreous strands in both eyes and a 2-mm staphyloma around the right optic nerve (Figure 1 and Figure 2). The optic nerve appeared relatively normal except for a whitish zone in the inferonasal substance of the nerve head with an overlying whitish membrane. The pigment epithelium around the staphyloma and in its walls was mottled, the fovea was near the edge of the staphyloma, and there was no evidence of choroidal coloboma.