The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Buphthalmos

Photo by Professor Chua Chung Nen

This 17 year-old boy was born with bilateral congenital glaucoma being more severe in the left than the right eye. Both eyes underwent trabeculectomies but the vision in the left eye could not be saved. The left globe was grossly enlarged with thinning of the sclera showing dark choroid. The cornea showed band keratopathy and the lens was opaque. Evisceration with prosthesis was proposed to improve his facial appearance.

 

Left pseudoproptosis due to enlarged globe (buphthalmos).

 

Enlarged globe with stretching of the sclera revealing the underlying dark choroid.

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