Our highly myopic patient has a fairly symmetrical bilateral posterior staphyloma that encircles each optic nerve and macula. Vision is counting fingers OD and 20/50 OS.
OCT demonstrates steep scleral curvature and outpouching.
Learning Points:
Posterior staphyloma is a weakening, thinning, and outpouching of the sclera most commonly seen in degenerative myopia.
See Moriyama et al Ophthalmology 2011;118;1626-1637 for some amazing 3D MRI reconstructions of myopic staphylomas.
