Bilateral staphylomas presenting as bitemporal hemianopia

Bitemporal hemianopia is usually secondary to pituitary and suprasellar masses. We present a case of bitemporal hemianopia secondary to bilateral staphylomas of the ocular globe. Staphylomas are degenerative outpouchings of the eyeball also known as scleral ectasia, secondary to congenital weakness of scleral tissue. Staphylomas can cause complications such as choroidal neovascularizations and hemorrhage. Early diagnosis and counselling are the mainstays of management. Bilateral staphylomas should be considered in the differential diagnosis of bitemporal hemianopia especially when imaging rules out sellar and suprasellar masses.