This 42YO male has a history of high myopia, of -14 diopters OD and -12.5 diopters OS. Vision is 20/60 OU.
Color photographs show bilateral macular staphyloma. Swept-source OCT B-scans and 3-D reconstruction more dramatically show the macular staphylomas.
Learning Points:
A macular staphyloma is a concave posterior bowing of the sclera in patients with high myopia. These myopic patients also have a markedly thinned choroid throughout the posterior pole.
Due to stretching of the posterior retinal structures, these patients are at increased risk of numerous findings, including macular schisis/traction and macular neovascularization (MNV).
