Spectral-domain optical coherence tomography findings of peripapillary staphyloma.

To cite: Wang J-K, Huang T-L. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015210558 DESCRIPTION A 10-year-old girl presented with blurred vision in her right eye since birth. Birth, developmental and medical histories were otherwise unremarkable. Her best corrected visual acuity was 20/30 and 20/20 in the right and left eyes, respectively, with bilateral mild myopia (−3.5 dioptres). Anterior segment, lens, ocular motility, Ishihara test and intraocular pressure were normal. Relative afferent papillary defect was negative. Normal fundus was found in the left eye. Right fundus photography revealed large peripapillary atrophy (deep cupping surrounding optic disc especially in the inferior side) with 6 disc diameters in width surrounded by pigmented ring with normal retinal vasculature (figure 1). There was no overlying central glial white veil on the disc and it was not associated with choroidal coloboma, excluding possibilities of morning glory syndrome and optic disc coloboma. Staining of peripapillary atrophy was found by fundus fluorescein angiography (figure 2). The patient was diagnosed as peripapillary staphyloma. The spectral-domain optical coherence tomography (RTVue, Optovue, New York, USA) demonstrated deep excavation between fovea and disc, 2.1 mm in depth. There was normal foveal structure without accompanying serous macular detachment