Eye - Phthisis Bulbi
comment:Phthisis bulbi ( Figure 1 , Figure 2 , Figure 3 , and Figure 4 ) is the diagnostic term used for the "end-stage" eye morphology resulting from severe injury from various causes, such as trauma, inflammation, excess exposure to ionizing radiation or ambient light, or physical compression by space-occupying orbital masses, such as neoplasms of the Harderian gland ( Figure 4 ). Phthisis bulbi is characterized by prominent shrinkage of the globe with marked displacement and disorganization of ocular structures.
recommendation:Phthisis bulbi should be diagnosed as present without assignment of a severity grade. Changes in the various ocular subtopographies should not be diagnosed separately as they are included in the collective diagnostic term "phthisis bulbi." If an inciting cause (e.g., a foreign body) is present, it should be diagnosed separately, and the association between the two lesions should be described in the narrative.
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