Anterior Staphyloma (Right eye) with Phthisis bulbi (Left eye): A case report

Background Staphyloma is a clinical condition characterized by an ectasia of the outer coats of the eye with an incarceration of the uveal tissue.^[1] Phthisis bulbi is an end-stage clinical condition occurring due to severe eye injury or disease damage which leads to scarring, inflammation, atrophy and finally disorganization of globe and intraocular contents. ^[3,4]

Case presentation A 16 years old boy presented in the OPD with protusion of the eyeball (right eye) and shrunken left eye which is present since birth. He had history of trauma to right eye with stick 5 years back following which he complains of further increase in size of the eyeball to attain the present size. His chief complaint was pain in right eye. SLE showed anterior staphyloma (right eye) along with mild congestion, mild blepharitis and pannus. Perception of light was present in right eye. Left eye findings were suggestive of pthisis bulbi with calcification, narrowing of palpebral aperture. The left eye was sightless, sizeless, shapeless and perception of light is negative in left eye. 

Conclusion Early identification of ophthalmological problems in infancy & prompt intervention is mandatory for anterior staphyloma. A comprehensive evaluation of the risk factors, control of ocular comorbid conditions, and an early and meticulous surgery can optimize results.