Peripapillary Staphyloma

Fundus photograph (1), red separation (2) and fundus autofluorescence (3) imaging

Funduscopy shows a large, recessed optic nerve with extensive surrounding peripapillary atrophy in the right eye. The retinal vasculature shows a typical branching pattern instead of the straight radiating vessels seen in morning glory syndrome.

The RNFL reflectivity appeared intact on red-free imaging.

Cirrus OCT line scan (combined image) - right optic disc

OCT line scans through the optic nerve shows deep posterior excavation.

Cirrus RNFL analysis

The RNFL thickness in the right eye was unable to be assessed using OCT

Cirrus ganglion cell analysis

GCA thickness was within the normative range except in the nasal sectors of the right eye where segmentation was affected by the posterior excavation.

30-2 SITA-faster visual field (right eye)

30-2 perimetry shows an enlarged blind spot corresponding to the area of excavation.