1. Vitreopapillary Traction Detected by Optical Coherence Tomography

    Vitreopapillary Traction Detected by Optical Coherence Tomography

    A man in his 70s was referred for evaluation of a suspected right optic neuropathy. Visual acuity was 20/25 OU, color vision was normal, and there was a trace right relative afferent pupillary defect. Fundus examination revealed an elevated right optic disc with mildly blurred margins and vessel obscuration. Bilateral epiretinal membranes were also present. Optical coherence tomography (Cirrus OCT; Carl Zeiss Meditec, Inc) confirmed the diagnosis of vitreopapillary traction, characterized by an incomplete posterior vitreous detachment or proliferating fibrocellular membrane pulling the optic disc toward the vitreous cavity ( Figure ). 1 Optical coherence tomography is helpful in confirming the ...

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