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Ophthalmic Images |

Giant Ciliary Staphyloma 60 Years After Fireworks Injury Online Only

Kareem Sioufi, MD1; Sara E. Lally, MD1; Carol L. Shields, MD1
[+] Author Affiliations
1Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania
JAMA Ophthalmol. 2016;134(7):e160824. doi:10.1001/jamaophthalmol.2016.0824.
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This case report describes a woman in her 70s who had sustained a fireworks-related injury 60 years earlier and who later developed a lump in the superior fornix that slowly expanded.

A woman in her late 70s sustained a fireworks injury to the right eye as a teenager. Vision loss was immediate, and she had no surgical intervention. Low-grade ocular pain ensued. Forty years later, a lump was noted in the superior fornix that slowly expanded. On examination, visual acuity was no light perception OD and 20/20 OS. The right eye displayed a giant ciliary staphyloma encompassing 6 clock hours, 16 mm in elevation and draped with Tenon fascia and conjunctiva (Figure, A).1,2 Computed tomography demonstrated giant superior staphyloma and calcified lens remnant (Figure, B). Given her history and findings, enucleation was performed. The thin overlying tissues were carefully lifted, the globe was removed intact, and an implant was placed.

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Giant ciliary staphyloma 60 years after fireworks injury. A, Massive blue uveal prolapse (superiorly) with white opaque cornea (inferiorly). B, Computed tomographic sagittal view demonstrating enlarged globe, measuring 40 mm in diameter, with calcified lens and superior staphyloma.

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