Multiple wedge-shaped retinal nerve fiber layer defects in a patient with optic nerve glioma in the contralateral
Fernanda Pedreira Magalhães1, Tiago Santos Prata, Verônica Castro Lima
1Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Abstract:
This case report describes a young non-glaucomatous patient with neurofibromatosis and previous history of optic nerve glioma, which developed multiple wedge-shaped retinal nerve fiber layer defects close to a chorioretinal scar in the fellow eye. After discussing the different possible etiologies to the wedge-shaped defects, the disruption of the nerve fiber layer due to the chorioretinal lesion was considered the most plausible cause. However, further follow-up with visual field assessment, optic nerve head documentation and neuroimaging is mandatory in this case and may provide additional information to better understand it.
