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Optic Nerve Head Pit With Sectoral Inner Retinal Hypoplasia

Optic Nerve Head Pit With Sectoral Inner Retinal Hypoplasia Clinical Review & Education Ophthalmic Images A Bottomless Pit Inas F. Aboobakar, BS; Pradeep Mettu, MD; Mays A. El-Dairi, MD A B Figure. Fundus photograph and optical coherence tomographic image. scan through the nerve and macula showing the pit (red arrowhead) and A, Fundus photograph showing left temporal optic nerve head pit and relatively absence of ganglion cell and nerve fiber layers in the papillomacular bundle darker papillomacular bundle (arrowheads). B, Optical coherence tomographic (white arrowhead). A woman in her late 30s diagnosed in childhood as having amblyo- Discussion pia in the left eye presented for examination. Visual acuity was stable Thinning of the peripapillary retinal nerve fiber layer has been 1,2 since childhood: 20/20 OD and 20/100 OS with a relative afferent described in ONHP, but this is the first case, to our knowledge, pupillary defect in the left eye, stereopsis of 100 arc-seconds, and to demonstrate absence of the 3 innermost macular layers. 10 of 10 Ishihara color plates in each eye. Ophthalmoscopic exami- Despite lack of earlier pictures, the stability of vision suggests this nationofthelefteyeshowedatemporalopticnerveheadpit(ONHP) finding is congenital. This case suggests a possible association and optical coherence tomography showed absence of the inter- between ONHP and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Optic Nerve Head Pit With Sectoral Inner Retinal Hypoplasia

Optic Nerve Head Pit With Sectoral Inner Retinal Hypoplasia

Abstract

Clinical Review & Education Ophthalmic Images A Bottomless Pit Inas F. Aboobakar, BS; Pradeep Mettu, MD; Mays A. El-Dairi, MD A B Figure. Fundus photograph and optical coherence tomographic image. scan through the nerve and macula showing the pit (red arrowhead) and A, Fundus photograph showing left temporal optic nerve head pit and relatively absence of ganglion cell and nerve fiber layers in the papillomacular bundle darker papillomacular bundle (arrowheads). B, Optical coherence...
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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2015.72
pmid
26067695
Publisher site
See Article on Publisher Site

Abstract

Clinical Review & Education Ophthalmic Images A Bottomless Pit Inas F. Aboobakar, BS; Pradeep Mettu, MD; Mays A. El-Dairi, MD A B Figure. Fundus photograph and optical coherence tomographic image. scan through the nerve and macula showing the pit (red arrowhead) and A, Fundus photograph showing left temporal optic nerve head pit and relatively absence of ganglion cell and nerve fiber layers in the papillomacular bundle darker papillomacular bundle (arrowheads). B, Optical coherence tomographic (white arrowhead). A woman in her late 30s diagnosed in childhood as having amblyo- Discussion pia in the left eye presented for examination. Visual acuity was stable Thinning of the peripapillary retinal nerve fiber layer has been 1,2 since childhood: 20/20 OD and 20/100 OS with a relative afferent described in ONHP, but this is the first case, to our knowledge, pupillary defect in the left eye, stereopsis of 100 arc-seconds, and to demonstrate absence of the 3 innermost macular layers. 10 of 10 Ishihara color plates in each eye. Ophthalmoscopic exami- Despite lack of earlier pictures, the stability of vision suggests this nationofthelefteyeshowedatemporalopticnerveheadpit(ONHP) finding is congenital. This case suggests a possible association and optical coherence tomography showed absence of the inter- between ONHP and

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Jun 1, 2015

References