Peripapillary Staphyloma: Clinical Features and Visual Outcome in 19 Cases | Ophthalmology | JAMA Ophthalmology | JAMA Network
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Gottlieb  JLPrieto  DMVander  JFBrown  GCTasman  WS Peripapillary staphyloma.  Am J Ophthalmol 1997;124249- 251PubMedGoogle Scholar
Blair  MPBlair  NPRheinstrom  SDJednock  NJ A case of peripapillary staphyloma.  Arch Ophthalmol 2000;1181138- 1139PubMedGoogle ScholarCrossref
Caldwell  JBSears  MLGilman  M Bilateral peripapillary staphyloma with normal vision.  Am J Ophthalmol 1971;71423- 425PubMedGoogle Scholar
Pollock  S The morning glory disc anomaly: contractile movement, classification, and embryogenesis.  Doc Ophthalmol 1987;65439- 460PubMedGoogle ScholarCrossref
Brodsky  MC Congenital optic disk anomalies [published correction appears in Surv Ophthalmol. 1995;40:172].  Surv Ophthalmol 1994;3989- 112PubMedGoogle ScholarCrossref
Kushner  BJ Functional amblyopia associated with abnormalities of the optic nerve.  Arch Ophthalmol 1984;102683- 685PubMedGoogle ScholarCrossref
Yang  LLHLambert  SR Reappraisal of occlusion therapy for severe structural abnormalities of the optic disc and macula.  J Pediatr Ophthalmol Strabismus 1995;3237- 41PubMedGoogle Scholar
Farah  MEUno  FBonomo  PPNobrega  MHofling-Lima  AL Contractile peripapillary staphyloma with light stimulus to the contralateral eye.  Arch Ophthalmol 2001;1191216- 1217PubMedGoogle Scholar
Kral  KSvarc  D Contractile peripapillary staphyloma.  Am J Ophthalmol 1971;711090- 1092PubMedGoogle Scholar
Konstas  PKatikos  GVatakas  LC Contractile peripapillary staphyloma.  Ophthalmologica 1976;172379- 381PubMedGoogle ScholarCrossref
Haik  BGGreenstein  SHSmith  MEAbramson  DHEllsworth  RM Retinal detachment in the morning glory anomaly.  Ophthalmology 1984;911638- 1647PubMedGoogle ScholarCrossref
Schatz  HMcDonald  HR Treatment of sensory retinal detachment associated with optic nerve pit or coloboma.  Ophthalmology 1988;95178- 186PubMedGoogle ScholarCrossref
Sugar  HSBeckman  H Peripapillary staphyloma with respiratory pulsation.  Am J Ophthalmol 1969;68895- 897PubMedGoogle Scholar
Bartz-Schmidt  KU Communication between the subretinal space and the vitreous cavity in the morning glory syndrome.  Graefes Arch Clin Exp Ophthalmol 1996;234409PubMedGoogle ScholarCrossref
Lin  CCLTso  MOMVygantas  CM Coloboma of optic nerve associated with serous maculopathy: a clinicopathologic correlative study.  Arch Ophthalmol 1984;1021651- 1654PubMedGoogle ScholarCrossref
Brodsky  MCKincannon  JMNelson-Adesokan  PBrown  HH Oculocerebral dysgenesis in the linear nevus sebaceous syndrome.  Ophthalmology 1997;104497- 503PubMedGoogle ScholarCrossref
Hodgkins  PLees  MLawson  J  et al.  Optic disc anomalies and frontonasal dysplasia.  Br J Ophthalmol 1998;82290- 293PubMedGoogle ScholarCrossref
Kiratli  HBozkurt  BMocan  C Peripapillary staphyloma associated with orofacial capillary hemangioma.  Ophthalmic Genet 2001;22249- 253PubMedGoogle ScholarCrossref
Clinical Sciences
October 1, 2005

Peripapillary Staphyloma: Clinical Features and Visual Outcome in 19 Cases

Author Affiliations

Author Affiliations: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea (Drs Kim and Yu); Department of Ophthalmology, Chungbuk National University College of Medicine, Chungbuk National University Medical Research Institute, Chungbuk, Korea (Dr Choi); Department of Ophthalmology, Seoul Municipal Boramae Hospital, Seoul (Dr Huh); and Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul (Dr Yu).

Arch Ophthalmol. 2005;123(10):1371-1376. doi:10.1001/archopht.123.10.1371

Objective  To investigate the clinical features and visual outcome of patients with peripapillary staphyloma.

Methods  The medical records of patients diagnosed as having peripapillary staphyloma at Seoul National University Children’s Hospital, Seoul, Korea, between January 1, 1991, and December 31, 2003, were reviewed. Visual acuity and associated ocular and systemic abnormalities were recorded.

Results  Nineteen patients (21 eyes) with peripapillary staphyloma were included in the study. The mean age at initial examination was 21 months, and 42% (8/19) of the patients were girls. Two patients (11%) had bilateral peripapillary staphylomas. Only 2 eyes had visual acuity better than 20/200 at the last examination, and 7 eyes had severe myopia of more than −6 diopters. After occlusion therapy, 1 patient achieved a visual improvement from light perception to 20/30. Congenital cataract and persistent pupillary membrane were present in 2 eyes each at initial examination. Complications observed during the follow-up period included acquired total cataract in 2 eyes and retinal detachment in 3 eyes. Scleral encircling buckling was performed in 1 eye with retinal detachment, and subsequently the retina was reattached. Only 2 patients had accompanying systemic abnormalities.

Conclusions  Rarely, patients with peripapillary staphyloma can achieve significant visual improvement by occlusion therapy, although visual outcome is generally poor. Because associated ocular disease and refractive errors are not infrequent, complete ophthalmic examinations and regular follow-up are necessary.