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Case Reports
. 2018 Mar 7:10:198-200.
doi: 10.1016/j.ajoc.2018.03.008. eCollection 2018 Jun.

Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient

Nimrod Dar  1   2 , Alexander Rubowitz  1   2
Affiliations
Case Reports

Pseudo-duplication of the optic disc with maculo-schisis in a 9-year-old patient

Nimrod Dar et al. Am J Ophthalmol Case Rep. .

Abstract

Purpose: To report a unique case of pseudo-duplication of the optic disc with maculo-schisis.

Observations: A 9-year-old girl presented with decreased vision in the left eye. Her measured visual acuity was 20/50. Dilated fundus examination revealed an optic disc-like lesion with a large crater-like depression, pale color and aberrant retinal vasculature arising from its lower region. Optical coherence tomography (OCT) demonstrated maculo-schisis emerging from the optic disc complex and involving the foveal region. Further pathological findings of cellophane maculopathy with retinal striae was observed at the papillo-macular bundle. On MRI scan there were neither signs of doubling of the optic nerve nor any other optic nerve malformations. The patient underwent 25 Gauge Pars Plana vitrectomy (PPV) with posterior hyaloid peel, ILM peel and gas tamponade with SF6. Eight month post-operatively, a significant reduction in intra-retinal fluids and an improvement in the maculo-schisis magnitude were seen.

Conclusions and importance: To the best of our knowledge, this is the first reported case of a pseudo-duplication of the optic disc with maculo-schisis treated with PPV.

Keywords: Congenital anomalies of the optic disc; Maculo-schisis; Pars Plana vitrectomy; Pseudo-duplication of the optic disc.

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Figures

Fig. 1
Fig. 1
Color fundus photographs and Ultrasonography at presentation. (For interpretation of the references to color in this figure legend, the reader is referred to the Web version of this article.) A and B. Color fundus photographs of the left eye, exhibiting doubling of the optic disc and cellophane maculopathy at the central papillo-macular bundle area. C. Ultrasonographic picture showing a broad and perhaps slightly segmented optic nerve shadow. D. Color fundus photographs of the right eye, exhibiting large and irregular optic disc.
Fig. 2
Fig. 2
Optical coherence tomography at presentation and at the 8-months post-op follow up. A and B. Optical coherence tomography (OCT) of the left eye exhibiting Maculo-Schisis emerging from the optic disc complex and extending throughout the Papillo-Macular bundle and including the Fovea. C and D. At 8-months post-op follow up, the OCT shows a reduction in intra-retinal fluids and an improvement in the maculo-schisis magnitude.
Fig. 3
Fig. 3
MRI imaging. T2-weighted axial MRI image exhibiting normal optic nerve appearance in both eyes.
See this image and copyright information in PMC

References

    1. Donoso L.A., Magargal L.E., Eiferman R.A. Ocular anomalies simulating double optic discs. Can J Ophthalmol. 1981;16:85–87. - PubMed
    1. McLoone E.M., Buchanan T.M. Duplication of the optic disc: true or pseudo? A coloboma or not a coloboma? Eur J Ophthalmol. 2004;14:163–165. - PubMed
    1. Young S., Ng J.K., Gaynon M.W. Pseudo duplication of the optic Disk. Retin Cases Brief Rep. 2011;5:144–145. - PubMed
    1. Barboni P., Deluigi M., Bonis C.D., Monetti G., Savini G., Zanini M. Pseudodoubling of the optic disc. Arch Ophthalmol. 1998;116:1400–1401. - PubMed
    1. Dutton G.N. Congenital disorders of the optic nerve: excavations and hypoplasia. Eye (Lond) 2004;8:1038–1048. - PubMed

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