Secondary angle closure glaucoma resulting from total anterior synechia leads to gradual bulging of the cornea. Corneal exposure can result in chronic keratitis. Looking for online definition of anterior staphyloma in the Medical Dictionary? anterior staphyloma explanation free. What is anterior staphyloma? Meaning of. histopathological features of congenital corneal staphyloma are discussed, as well as the possible anteroposterior length, with an abnormal anterior segment .

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We report a case of acquired anterior staphyloma following perforation of a corneal ulcer in a patient who used crack cocaine daily for 6 months prior to the second presentation and its management. Staphylloma consists of staphyolma staphylectomy under heavy doses of oral steroids. Enter a Valid email address. It is an ectasia of pseudocornea the scar formed from organised exudates and fibrous tissue covered with epithelium which results after sloughing of cornea with iris plastered behind, it is known as anterior wnterior.

The iris appeared to adhere to the entire cornea. B Acquired anterior staphyloma following a corneal ulcer with a severe bulging of the right eye at the time of the surgery. Not every question will receive a direct response from an ophthalmologist. The crystalline lens was found to be in place.

On the equator of the eye region circumferencing the largest diameter orthogonal to the visual axis. Corneal complications associated with the use of crack cocaine.

Following surgery, the patient was again lost to follow-up. Anterior staphylomas are rarely observed in patients with Peters anomaly 2. In the posterior segment of the eye, typically diagnosed at the region of the optic nerve or maculadeforming the eye in a way that the eye-length is extended associated with myopia nearsightedness. There are many possible mechanisms by which corneal complications resulting from crack cocaine may develop 4 – 5. Articles lacking sources from January All articles lacking sources.


At this time, the patient agreed to surgical intervention. Please review our privacy policy. The patient had a history of crack cocaine and injected heroin abuse. The corneal epithelium is hyperkeratotic showing marked acanthosis. Here we describe a case of anterior staphyloma.

Acquired anterior staphyloma after corneal ulcer associated with the use of crack

A month-old boy was referred to the Oculoplastic Clinic at Labbafinejad Medical Center for treatment of a bulging and deformed blind left eye.

Most Viewed content is not available. He was otherwise quite well with no systemic symptoms, and his general medical history was unremarkable.

Keratinized corneal ectasia and severe bulging of the left eye at the time of enucleation. Shaphyloma corneal staphyloma anteeior to entail a hopeless visual prognosis. Due to severe deformity of the blind eye, we considered enucleation to be the most appropriate treatment.

Since then, others have reported regarding corneal damage caused by narcotics 3 – 5.

anterior staphyloma

Acquired anterior staphyloma occurs subsequent to corneal perforation, usually following untreated or non-responding infective keratitis 1. Why has my near vision gotten worse since my cataract surgery two weeks ago? The patient was offered imminent penetrating keratoplasty in his right eye; however, he was lost to follow-up for the next 6 months.

The lens was atrophic and had transformed to a knob-like structure adhering to the posterior cornea Fig. Over the next 4 months, the patient also noticed the onset of decreasing visual acuity in his right eye OD.


The few treatment options in anterior staphyloma include penetrating keratoplasty, sclerokeratoplasty, and dural patch 6 – 8. Staphylomq of two cases. Clinical aspects of congenital anomalies of the cornea and sclera; pp. In other projects Wikimedia Commons. Thank you Your feedback has been sent. This is the first case that is associated with anterior staphyloma.

What is staphyloma? – American Academy of Ophthalmology

A year-old black man presented with a 4-week history of a foreign body sensation, redness, and pain in his right eye. It occurs more commonly in the regions of sclera which are perforated by vortex veins. None of the authors have any potential conflicts of interest to disclose. Histopathological examination of two cases of anterior staphyloma associated with Peters’ anomaly and persistent hyperplastic primary vitreous.

Basic and clinical science course: This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Examination of the left eye revealed a keratinized and ectatic cornea bulging 9 mm anteriorly Fig.

The anterior chamber angle was occluded by iris adhesions. The cornea was edematous and up to 4 mm in thickness. The spectrum of associated ocular and systemic malformations.

Rua Casa do Ator, – cj. Open in a separate window.