Superior Segmental Optic Nerve Hypoplasia

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Identifier EEC-Superior-segmental-optic-nerve-hypoplasia
Title Superior Segmental Optic Nerve Hypoplasia
Creator Naa Naamuah M. Tagoe, MBChB, FWACS, FGCS; Rahul A. Sharma, MD, MPH; Valérie Biousse, MD; Nancy J. Newman, MD
Affiliation (NNMT) Consultant Ophthalmologist, Training and Research Coordinator, Lions International Eye Centre, Korle Bu Teaching Hospital, Accra, Ghana; (RAS) Neuro-ophthalmology Fellow, Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia; (VB) Cyrus H. Stoner Professor of Ophthalmology, Professor of Ophthalmology and Neurology, Departments of Ophthalmology and Neurology, Emory University School of Medicine, Atlanta, Georgia; (NJN) LeoDelle Jolley Chair in Ophthalmology, Professor of Ophthalmology and Neurology, Instructor of Neurosurgery, Departments of Ophthalmology, Neurology and Neurosurgery, Emory University School of Medicine, Atlanta, Georgia
Subject Superior Segmental Optic Nerve Hypoplasia; Maternal Diabetes
Description This is a case of superior segmental optic nerve hypoplasia in a woman with a history of maternal diabetes. A 25 year-old woman noticed a visual field defect in her right eye. Her examination showed: visual acuity: 20/20 OD, 20/20 OS; pupils: trace relative afferent pupillary defect OD; color vision: 14/14 OU correct Ishihara plates. Color photographs of both eyes, centered on the optic nerves, showed tilted optic nerves and a thinned superior neuroretinal rim in both eyes (arrows). Humphrey visual field (24-2 SITA FAST) showed non-specific changes OS and inferior depression OD. Optical coherence tomography (OCT) of the retinal nerve fiber layer (RNFL) confirmed a thinned superonasal retinal nerve fiber layer in both eyes. Optical coherence tomography (OCT) of the ganglion cell layer (GCL) showed corresponding thinning of the superior macular ganglion cell layer in both eyes. MRI of the brain and orbits was normal, with no findings to suggest a cause of acquired optic neuropathy. The patient's presentation was consistent with superior segmental optic nerve hypoplasia in both eyes. The patient's mother had a history of diabetes, which is a known risk factor for this condition.
Date 2020
Language eng
Format application/pdf
Format Creation Microsoft PowerPoint
Type Text
Collection Neuro-Ophthalmology Virtual Education Library - The Emory Eye Center Neuro-Ophthalmology Collection: https://novel.utah.edu/eec/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6tv012w
Setname ehsl_novel_eec
ID 1541984
Reference URL https://collections.lib.utah.edu/ark:/87278/s6tv012w
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