Case History: A 22-year-old male presented with absence of vision in left eye since birth, nasal blockage for three years, and headache for one month.
22-year-old male presented with absence of vision in left eye since birth, nasal blockage for three years, and headache for one month.
Figure 1. Plain radiography images. Foci of calcification are noted in the left orbit near its medial aspect compared to the right orbit.
Figure 2. Axial CT images. Left globe shows calcification along its posterior segment, appears shrunken, and looks like a calcified lump.
Figure 3. Coronal CT images: Left globe shows calcification along its posterior segment, appears shrunken, and looks like a calcified lump.
Figure 4. Sagittal CT images: Left globe shows calcification along its posterior segment, appears shrunken, and looks like a calcified lump.
Diagnosis: Phthisis bulbi
On CT scan with plain study: Left eye ball appears small with calcified lens and globe.
Phthisis bulbi, also known as end-stage eye, is an atrophic scarred, and disorganized globe that may result from a variety of severe ocular insults.
Clinical signs: Decreased intraocular pressure.
Prognosis: Phthisis bulbi is an end-stage condition with no chance of improvement.
Trochlear calcifications may occur in adults as aging-related normal variants or may be seen in young patients with diabetes mellitus. They typically have a superomedial location within the orbit.
Metastatic calcification: abnormal calcium and phosphate metabolism.
