Multiple choroidal neovascularizations at the border of a myopic posteriormacular staphyloma

Background: In pathologic myopia, choroidal neovascularization (CNV) usuall y occurs in macular region and at the center of the macular staphyloma. CNV has been reported to occur at the borders of an inferior posterior staphyl oma in the tilted disc syndrome. We present a case of multiple simultaneous CNVs located at the borders of a myopic macular staphyloma. Methods: The c linical and angiographic records of a myopic patient who presented several areas of choroidal neovascularization were reviewed, Results: On fundus exa mination, four gray lesions surrounded by subretinal hemorrhages and covere d by a large serous retinal detachment were observed at the borders of a po sterior staphyloma. Fluorescein angiography revealed that these four lesion s were CNVs extending from the borders of the staphyloma to the macular reg ion. As measured by B-scan ultrasonography, the staphyloma was 4 mm deep. C onclusion: This case supports the hypothesis that the borders of staphyloma s are sites at risk for the development of CNV in pathologic myopia.