Superior segmental optic nerve hypoplasia

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Identifier EEC-Superior-segmental-optic-nerve-hypoplasia
Title Superior segmental optic nerve hypoplasia
Subject Superior segmental optic nerve hypoplasia; maternal diabetes
Creator Naa Naamuah M. Tagoe MBChB, FWACS, FGCS, Consultant Ophthalmologist, Training and Research Coordinator, Lions International Eye Centre, Korle Bu Teaching Hospital, Accra, Ghana; Rahul A. Sharma, MD, MPH, Neuro-ophthalmology Fellow, Department of Ophthalmology, Emory University School of Medicine; Valérie Biousse, MD, Cyrus H. Stoner Professor of Ophthalmology, Professor of Ophthalmology and Neurology, Departments of Ophthalmology and Neurology, Emory University School of Medicine; Nancy J. Newman, MD, LeoDelle Jolley Chair in Ophthalmology, Professor of Ophthalmology and Neurology, Instructor of Neurosurgery, Departments of Ophthalmology, Neurology and Neurosurgery, Emory University School of Medicine
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.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2020
Type Text; Image
Format application/pdf
Rights Management Copyright 2020. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6tv012w
Setname ehsl_novel_eec
Date Created 2020-04-20
Date Modified 2020-09-18
ID 1541984
Reference URL https://collections.lib.utah.edu/ark:/87278/s6tv012w
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