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[Heterotopic fundus. An easily missed abnormality]
W Behrens-Baumann1, K Lauritzen
1Abteilung Augenheilkunde, Universität Göttingen.
Klinische Monatsblatter Fur Augenheilkunde
|April 1, 1992
Summary
Tilted disc syndrome, characterized by optic disc anomalies, can mimic serious neurological conditions. Recognizing this benign anomaly prevents unnecessary brain imaging and diagnostic procedures.
Area of Science:
- Ophthalmology
- Neuro-ophthalmology
- Medical Imaging
Context:
- Tilted disc syndrome is an optic disc anomaly.
- It presents with specific funduscopic findings like inferior conus and disc inversion.
- Associated visual field defects, termed refractive scotoma, can occur.
Purpose:
- To describe the clinical features of tilted disc syndrome.
- To differentiate it from serious intracranial pathologies.
- To inform clinicians for appropriate patient management.
Summary:
- This study details 12 patients diagnosed with tilted disc syndrome.
- Key features observed include inferior conus, optic disc inversion, and sectorial fundus ectasia.
- Refractive scotoma was also noted as a common visual field defect.
Impact:
- Accurate diagnosis of tilted disc syndrome can prevent unnecessary neurological and neuroradiologic investigations.
- Avoids patient anxiety and healthcare costs associated with excluding cerebral tumors.
- Enhances understanding of optic nerve anomalies and their clinical significance.