Optic nerve cyst associated with optic disk pits

To report a case with two optic disk pits which were associated with an optic nerve cyst in the same eye. Observational case report. A 47-year-old patient noted visual impairment in the right eye. On examination the best corrected visual acuity in the right eye was 20/80 and in the left eye was 20/2...

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Bibliographic Details
Published in:Graefe's archive for clinical and experimental ophthalmology 2005-07, Vol.243 (7), p.718-720
Main Authors: Theodossiadis, Panagiotis G, Stringaris, Kyriakos, Papadopoulos, Vasilios, Theodossiadis, George P
Format: Article
Language:English
Subjects:
Blood Flow Velocity
Cysts - complications
Cysts - diagnosis
Cysts - physiopathology
Eye Abnormalities - complications
Eye Abnormalities - diagnosis
Eye Abnormalities - physiopathology
Female
Humans
Laser-Doppler Flowmetry
Magnetic Resonance Imaging
Middle Aged
Optic Disk - abnormalities
Optic Nerve Diseases - complications
Optic Nerve Diseases - diagnosis
Optic Nerve Diseases - physiopathology
Regional Blood Flow
Retinal Vessels - physiology
Visual Acuity
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Summary:To report a case with two optic disk pits which were associated with an optic nerve cyst in the same eye. Observational case report. A 47-year-old patient noted visual impairment in the right eye. On examination the best corrected visual acuity in the right eye was 20/80 and in the left eye was 20/20. Biomicroscopy revealed, in the right eye, a very pale optic disk with two optic disk pits without macular elevation. Magnetic resonance imaging (MRI) revealed a well circumscribed 6 x 6-mm(2) round cystic lesion within the right optic nerve sheath adjacent to the temporal aspect of the right optic nerve at its retrobulbar segment, which compressed and displaced the nerve. In the case of an extremely pale optic disk with congenital pits and visual impairment without macular detachment, radiological examination is indicated in order to exclude the possibility of coexisting optic nerve anomalies.
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-004-1007-7