Phthisis bulbi

Case contributed by Laughlin Dawes
Diagnosis certain
ct

Small atrophic left globe with accompanying dystrophic calcification.

Case Discussion

Phthisis bulbi, also known as end-stage eye, is an atrophic scarred and disorganized globe that may result from a variety of severe ocular insults. Dystrophic calcification is common.

Causes of this end-stage damage include trauma, infection, other inflammatory processes, radiation, chronic retinal detachment, persistent hyperplastic primary vitreous and retinoblastoma. The globe is non-functioning thus the patient is blind in that eye. Enucleation +/- prosthesis insertion is performed if there is associated with chronic pain or for cosmetic reasons.

Credit: Dr Donna D'Souza

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