Asian Journal of Research and Reports in Ophthalmology

Bilateral Titled Optics Discs with Posterior Staphyloma in Non-myopic Eyes: A Case Report

Lucrèce Joanelle Vydalie Eriga *

Department of Ophthalmology, Hôpital Militaire d’instruction Mohammed V-Rabat, Morocco.

Imane Jeddou

Department of Ophthalmology, Hôpital Militaire d’instruction Mohammed V-Rabat, Morocco.

Arnaud Hugues Yempabou Yonli

Department of Ophthalmology, Hôpital Militaire d’instruction Mohammed V-Rabat, Morocco.

Fadhloullahi Khidrou Sambou Oumarou

Department of Ophthalmology, Hôpital Militaire d’instruction Mohammed V-Rabat, Morocco.

Badreddine Oubaaz

Department of Ophthalmology, Hôpital Militaire d’instruction Mohammed V-Rabat, Morocco.

Yassine Mouzari

Department of Ophthalmology, Hôpital Militaire d’instruction Mohammed V-Rabat, Morocco.

Abdelbarre Oubaaz

Department of Ophthalmology, Hôpital Militaire d’instruction Mohammed V-Rabat, Morocco.

*Author to whom correspondence should be addressed.

---

Abstract

Objective: To describe a case of bilateral titled optics discs with posterior staphyloma in non-myopic eyes.

Results: This was a 66-year-old woman with a history of metabolic syndrome presented to the ophthalmology clinic for a bilateral painless visual impairment evolving gradually for the last three months. Clinical examination revealed a bilateral astigmatism in both eyes: -0.75 at 93 degree on right eye and at 64 degree on left eye. The best corrected visual acuity was 20/20 in both eyes. The examination of the anterior segment was normal. The fundus examination noted an inferonasal titled optic discs associated with staphyloma. An orbito-cerebral magnetic resonance imaging was performed to document the staphyloma and exclude an optic disc hypoplasia. The MRI confirmed the bilateral eyeballs staphyloma without any other issue.

Keywords: Staphyloma, optic, titled, disc

---

---

---

References

El Matri L, Falfoul Y, El Matri K, El Euch I, Ghali H, Habibi I, Hassairi A, Chaker N, Schorderet D, Chebil A. Posterior staphylomas in non-highly myopic eyes with retinitis pigmentosa. Int Ophthalmol. 2020;40(9):2159-2168. DOI: 10.1007/s10792-020-01396-3. Epub 2020 May 2. PMID: 32358734.

Zhou LX, Shao L, Xu L, Wei WB, Wang YX, You QS. The relationship between scleral staphyloma and choroidal thinning in highly myopic eyes: The Beijing Eye Study. Représentant scientifique. 2017;7(1):9825. PMID : 28852194; PMCID : PMC5575118. DOI: 10.1038/s41598-017-10660-z

Ohno-Matsui K, Jonas JB. Posterior staphyloma in pathologic myopia. Prog Retin Eye Res. 2019;70:99-109. DOI: 10.1016/j.preteyeres.2018.12.001. Epub 2018 Dec 8. PMID: 30537538.

Ohno-Matsui K, Akiba M, Modegi T, et al. Association between scleral shape and myopic retinochoroidal lesions in patients with pathological myopia. Invest Ophthalmol Vis Sci. 2012;53(10):6046-6061. PMID : 22879412. DOI : 10.1167/iovs.12-10161

Emer JL. The optic nerve sheath as a new mechanical load on the globe in ocular conduction. Invest Ophthalmol Vis Sci. 2016;57(4):1826-1838. PMID : 27082297; PMCID : PMC4849549. DOI: 10.1167/iovs.15-18718

Ehongo A, Bacq N, Kisma N, et al. Analysis of peripapillary intrachoroidal cavitation and myopic peripapillary distortions in polar regions by optical coherence tomography. Clin Ophthalmol. 2022;16:2617-2629. PMID : 35992567 ; PMCID : PMC9387167. DOI: 10.2147/OPTH.S376597

Gaucher D, Erginay A, Lecleire-Collet A, et al. Dome-shaped macula in eyes with myopic posterior staphyloma, Am J Ophthalmol. 2008;145:909-914.

Ohno-Matsui K, Akiba M, Moriyama M, et al. Intrachoroidal cavitation in macular area of eyes with pathologic myopia. Am J Ophthalmol. 2012;154:382-393.

Toranzo J, Cohen SY, Erginay A, Gaudric A, Peripapillary intrachoroidal cavitation in myopia, Am J Ophthalmol. 2005;140(4):731-732.

Spaide RF, Akiba M, Ohno-Matsui K, Evaluation of peripapillary intrachoroidal cavitation with swept source and enhanced depth imaging optical coherence tomography, Retina. 2012;32(6):1037-1044.