Khodeiry Mohamed M, Ayoubi Mohammad, Dorizas Christopher A, Mendoza-Santiesteban Carlos E, Kostic Maja
University of Miami Health System, Bascom Palmer Eye Institute, Miami, Florida, USA.
Department of Ophthalmology and Visual Sciences, University of Louisville, Louisville, Kentucky, USA.
Case Rep Ophthalmol Med. 2025 Apr 23;2025:3136288. doi: 10.1155/crop/3136288. eCollection 2025.
The purpose of the study is to describe a case of vitreopapillary traction causing optic nerve head elevation. This case report describes a 64-year-old male who presented with left cloudy vision for 3 days. Dilated fundus exam showed normal right optic nerve with glial tissue nasally and left optic nerve head elevation and peripapillary hemorrhages in the left eye. Magnetic resonance imaging of the brain and orbits, erythrocyte sedimentation rate, and C-reactive protein were normal. Optical coherence tomography showed bilateral dense vitreous adhesions to the optic disc nasally causing traction and optic nerve head elevation of the left eye. The patient was diagnosed with vitreopapillary traction causing optic nerve head elevation, and observation was recommended. This case highlights the importance of clinical examination and ancillary testing in differentiating etiologies of optic disc elevation.
本研究的目的是描述一例玻璃体乳头牵引导致视神经乳头抬高的病例。本病例报告描述了一名64岁男性，其左眼视物模糊3天。散瞳眼底检查显示，右眼视神经正常，鼻侧有胶质组织，左眼视神经乳头抬高，视乳头周围有出血。脑部和眼眶的磁共振成像、红细胞沉降率及C反应蛋白均正常。光学相干断层扫描显示，双侧玻璃体在鼻侧与视盘紧密粘连，导致左眼牵引及视神经乳头抬高。该患者被诊断为玻璃体乳头牵引导致视神经乳头抬高，建议进行观察。本病例强调了临床检查及辅助检查在鉴别视盘抬高病因方面的重要性。
