Tag: phthisis

Peculiar combination of buphthalmos and phthisis

In English

In EnglishCase of May 2016.
One may think at a first glance, that the only eye which is abnormal is the left one, with obvious phthisis. However, the right one is also not ok. It is a buphthalmic big cornea. The boy had congenital glaucoma treated before.

in Russian / по-русскиСлучай от мая 2016 года.

На снимке патологичны оба глаза. Один субербольшой, другой – супермаленький. Соответственно врождённая глаукома справа и фтизис слева. Пропорции огромной правой роговицы можно оценить сравнив диаметр роговицы с размером глазной щели.

Right eye: big eye and cornea due to congenital glaucoma. Left eye: very small due to phthisis. Peculiar combination of super-big and super-small eye in one person.

Pupula duplex

In EnglishThis is a young lady with a case of old scleral malacia and uveal staphyloma. This staphyloma actually looks very much like a typical advanced “anterior staphyloma”, which usually originates at the cornea site. She also has phthitic changes of her real cornea and anterior chamber, which is positioned infero-laterally.

In other words, such or similar cases could have been the source for the very popular rumor/myth in ophthalmology, that there were cases of double corneas+irises+pupillae. They call it “pupula duplex” (sic) and photoshop pictures are all over the google. I have read people also considered this as “devil eye”. Very much possible:)

In reality, however, this lady has all the indications for enucleation, histopathology and implant/prosthesis with a tumor suspect via B-scan. Her current condition is there since 2015.

That is what potential Pupula duplex case could look like when it supposedly was described in older literature, if true at all. “Real” cornea is lower, “pseudo” cornea is upper.