Abstract
To present a case of worsening maculopathy and vision loss due to vitreopapillary traction associated with an anomalous optic nerve head in a pediatric patient successfully managed with pars plana vitrectomy. Methods: Retrospective case report Results: A 13-year-old boy presented with unilateral maculopathy that slowly progressed over a four-year period. As his visual acuity declined, he became increasingly symptomatic. The macular pathology occurred in the setting of vitreopapillary traction overlying multiple congenital optic nerve abnormalities, including a myelinated nerve fiber layer and a Bergmeister papilla. Following pars plana vitrectomy to alleviate the traction, the patient's macular appearance improved, and his vision slowly recovered to baseline. Conclusion: There are limited reports of congenital optic nerve anomalies associated with vitreopapillary traction and maculopathy among any age group. This report illustrates a pediatric case in which removal of traction on the nerve head by pars plana vitrectomy was the key therapeutic intervention to alleviate the maculopathy.
Original language | English (US) |
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Article number | 10.1097/ICB.0000000000001666 |
Journal | Retinal Cases and Brief Reports |
DOIs | |
State | Accepted/In press - 2024 |
Keywords
- Bergmeister papilla
- maculopathy
- myelinated nerve fiber layer
- vitrectomy
ASJC Scopus subject areas
- Ophthalmology