PURPOSE: To identify vitreopapillary tractional forces as a possible cause of optic nerve head elevation. METHODS: Case reports. Two patients aged 64 and 84 years underwent detailed ocular examination and B-scan ultrasonography. RESULTS: Both patients had a unilateral elevated optic nerve head with normal color vision, normal pupillary responses, and full kinetic perimetry. Biomicroscopic and B-scan ultrasonographic evaluation confirmed the presence of vitreopapillary traction. CONCLUSIONS: Vitreopapillary traction can cause unilateral optic nerve head elevation. The posterior hyaloid should be evaluated in patients with optic nerve head elevation.
PURPOSE: To identify vitreopapillary tractional forces as a possible cause of optic nerve head elevation. METHODS: Case reports. Two patients aged 64 and 84 years underwent detailed ocular examination and B-scan ultrasonography. RESULTS: Both patients had a unilateral elevated optic nerve head with normal color vision, normal pupillary responses, and full kinetic perimetry. Biomicroscopic and B-scan ultrasonographic evaluation confirmed the presence of vitreopapillary traction. CONCLUSIONS: Vitreopapillary traction can cause unilateral optic nerve head elevation. The posterior hyaloid should be evaluated in patients with optic nerve head elevation.
Authors: Mario R Romano; Chiara Comune; Mariantonia Ferrara; Gilda Cennamo; Stefano De Cillà; Lisa Toto; Giovanni Cennamo Journal: J Ophthalmol Date: 2015-09-03 Impact factor: 1.909