Blueberry eye: acquired total anterior staphyloma

A 51-year-old woman presented to the ophthalmology emergency room with inability to close the eyelid, severe pain and light sensitivity in the left eye. Ocular examination showed severe conjunctival injection, deep corneal vascularisation, and extremely thin and protruded cornea, measuring 12×14 mm, with iridocorneal adhesions (figure 1A). The protruded lesion had a typical blueberry-like external appearance, due to the iris plugging the perforated ulcer. The patient’s best corrected visual acuity (BCVA) was reduced to hand motion in the left eye and was 20/40 in the right …