报告先天性视盘周围巩膜扩张和先天性黄斑部巩膜扩张各１例。前者为视乳头周围巩膜井状凹陷，大致正常的视乳头位于其基底部，凹陷边缘有色素上皮和脉络膜萎缩；后者为双侧黄斑区限局性巩膜葡萄肿，不累及视乳头。并就其各自的临床表现、相互关系及鉴别诊断进行了简要讨论。 Report of congenital disc around the scleral expansion and congenital macular scleral expansion in 1 case. The former is a scleral well near the optic disc. The normal optic disc is located at the basal part of the optic disc, and there are pigmented epithelium and choroid atrophy in the margin of the optic disc. The latter is a focal scleral staphyloma of the bilateral macula, which does not affect the optic nerve. And their respective clinical manifestations, correlations and differential diagnosis were briefly discussed.