Vitreopapillary traction diagnosed by spectral domain optical coherence tomography

This report describes a case of vitreopapillary traction with right inferior altitudinal defect similar to anterior ischemic optic neuropathy. A 35-year-old man with inferior altitudinal defect in his right eye was referred. The right optic disc was elevated and the superior disc margin was blurred. Spectral domain optical coherence tomography (SD-OCT) of the right optic disc showed the vitreous cortex was highly reflective and pulling the optic disc margin superiorly. The posterior hyaloid membrane on the nasal side of the optic disc was less reflective than that superior to the disc, suggesting that vitreopapillary traction contributed to this condition. During a careful 12-month observation, no change was noted in the optic disc appearance or visual field. Thus, SD-OCT was useful in visualizing the posterior hyaloid membrane and was helpful in the diagnosis of vitreopapillary traction syndrome.