O OftalmopediaAn open ophthalmology reference ⌕

Phthisis bulbi

AI overview

Phthisis bulbi is a shrunken, non-functional eye.

Key points
  • It may result from severe eye disease, inflammation, injury, or as a complication of eye surgery.
    source quote
    It may result from severe eye disease , inflammation [ 2 ] or injury , or it may represent a complication of eye surgery .
  • It can be caused by injury, including burns to the eye, or long-term eye disease or inflammation.
    source quote
    It can be caused by injury, including burns to the eye, or long-term eye disease or inflammation.
  • End-stage glaucoma can cause it.
    source quote
    End-stage glaucoma can cause it.
  • Other common causes include cancer, retinal detachment, vascular lesions, infection, and inflammation.
    source quote
    Other common causes include cancer, retinal detachment, vascular lesions, infection, and inflammation.
Symptoms
  • The affected eye is shrunken, and has little to no vision.
    source quote
    The affected eye is shrunken, and has little to no vision.
  • The intraocular pressure in the affected eye is very low or nonexistent.
    source quote
    The intraocular pressure in the affected eye is very low or nonexistent.
  • The layers in the eye may be fused together, thickened, or edematous.
    source quote
    The layers in the eye may be fused together, thickened, or edematous .
  • The eyelids may be glued shut.
    source quote
    The eyelids may be glued shut.
  • The eye may be soft when palpated.
    source quote
    The eye may be soft when palpated.
  • Under a microscope there may be deposits of calcium or bone, and the lens is often affected by cataracts.
    source quote
    Under a microscope there may be deposits of calcium or bone, and the lens is often affected by cataracts .
Treatment
  • Treatment options include insertion of a prosthesis, which may be preceded by enucleation of the eye.
    source quote
    Treatment options include insertion of a prosthesis , which may be preceded by enucleation of the eye .
  • Usually, treatment is to end the pain in the affected eye and for cosmetic purposes, not to restore vision.
    source quote
    Usually, treatment is to end the pain in the affected eye and for cosmetic purposes, not to restore vision.
  • It can be removed, a procedure called enucleation of the eye.
    source quote
    It can be removed, a procedure called enucleation of the eye.
  • Sometimes, though, it is possible to transplant only parts of the eye, and some vision can be restored.
    source quote
    Sometimes, though, it is possible to transplant only parts of the eye, and some vision can be restored.
Prognosis

Treatment for the affected eye is often futile.

AI-synthesized from the Wikipedia article “Phthisis bulbi”. Not medical advice. Verify source →
Phthisis bulbi
Phthisis bulbi of the right eye
Pronunciation
  • /ˈθaɪ.sɪs/, /ˈtaɪ.sɪs/, /ˈfθaɪ.sɪs/
SpecialtyOphthalmology 
SymptomsShrunken eye with little or no function
CausesEye surgery
Risk factorsEye injury, Eye surgery, eye disease
PreventionBy treating the condition before the eye goes to pthisis
TreatmentSurgery
PrognosisUsually permanent blindness in affected eye
Deaths0

Phthisis bulbi is a shrunken,[1] non-functional eye. It may result from severe eye disease, inflammation[2] or injury, or it may represent a complication of eye surgery.[3] Treatment options include insertion of a prosthesis, which may be preceded by enucleation of the eye.[4][5]

The affected eye is shrunken, and has little to no vision. The intraocular pressure in the affected eye is very low or nonexistent. The layers in the eye may be fused together, thickened, or edematous. The eyelids may be glued shut. The eye may be soft when palpated.[6] Under a microscope there may be deposits of calcium or bone, and the lens is often affected by cataracts.[7]

It can be caused by injury, including burns to the eye, or long-term eye disease or inflammation. End-stage glaucoma can cause it. It can often complicate eye surgery.[6] Other common causes include cancer, retinal detachment, vascular lesions, infection, and inflammation.[7]

Treatment for the affected eye is often futile. Usually, treatment is to end the pain in the affected eye and for cosmetic purposes, not to restore vision.[7] It can be removed, a procedure called enucleation of the eye. Sometimes, though, it is possible to transplant only parts of the eye, and some vision can be restored.[6]

  1. ↑ Dornblüth, von Willibald Pschyrembel. Gegr. von Otto (1977). Klinisches Wörterbuch : mit klinischen Syndromen und einem Anhang Nomina Anatomica (253., um einen Anh. 'Nomina anatomica' erw. Aufl. ed.). Berlin [u.a.]: de Gruyter. ISBN 978-3-11-007018-7.
  2. ↑ Hui JI (September 2010). "Outcomes of orbital implants after evisceration and enucleation in patients with endophthalmitis". Curr Opin Ophthalmol. 21 (5): 375–9. doi:10.1097/ICU.0b013e32833b7a56. PMID 20489621.
  3. ↑ Apple DJ, Jones GR, Reidy JJ, Loftfield K (1985). "Ocular perforation and phthisis bulbi secondary to strabismus surgery". J Pediatr Ophthalmol Strabismus. 22 (5): 184–7. doi:10.3928/0191-3913-19850901-06. PMID 4045647.
  4. ↑ Cote RE, Haddad SE (1990). "Fitting a prosthesis over phthisis bulbi or discolored blind eyes". Adv Ophthalmic Plast Reconstr Surg. 8: 136–45. PMID 2248703.
  5. ↑ Soares IP, França VP (May 2010). "Evisceration and enucleation". Semin Ophthalmol. 25 (3): 94–7. doi:10.3109/08820538.2010.488575. PMID 20590419.
  6. 1 2 3 Dohlman CH, D'Amico DJ (January 1999). "Can an eye in phthisis be rehabilitated? A case of improved vision with 1-year follow-up". Arch Ophthalmol. 117 (1): 123–4. doi:10.1001/archopht.117.1.123. PMID 9930175.
  7. 1 2 3 Tripathy K, Chawla R, Temkar S, Sagar P, Kashyap S, Pushker N, Sharma YR (2018). "Phthisis Bulbi-a Clinicopathological Perspective". Semin Ophthalmol. 33 (6): 788–803. doi:10.1080/08820538.2018.1477966. PMID 29902388.