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Peripapillary vitreoretinal traction.

Angeline Hixson1, Sherrol Reynolds

  • 1Nova Southeastern University College of Optometry, Davie, Florida 33328, USA. mouton@nova.edu

Optometry (St. Louis, Mo.)
|June 21, 2011
PubMed
Summary
This summary is machine-generated.

Peripapillary vitreoretinal traction, though rare, can affect the optic nerve head. Optical coherence tomography (OCT) is crucial for diagnosing this condition, differentiating it from other optic nerve issues.

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Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Vitreoretinal Surgery

Background:

  • Vitreoretinal traction syndrome can arise from incomplete posterior vitreous detachment.
  • While macular and peripheral vitreoretinal traction are documented, peripapillary manifestations are less understood.

Observation:

  • A case involving a 62-year-old woman with uncontrolled diabetes and hypertension presented with blurred optic nerve margins and peripapillary hemorrhages.
  • Spectral domain optical coherence tomography (OCT) revealed peripapillary vitreoretinal traction alongside concurrent vitreomacular traction.

Findings:

  • Residual vitreoretinal attachment at the optic nerve head can occur.
  • Peripapillary vitreoretinal traction may mimic optic nerve head edema, necessitating careful differential diagnosis.

Implications:

  • Distinguishing peripapillary vitreoretinal traction from sight- or health-threatening conditions is vital.
  • OCT serves as an indispensable tool for confirming peripapillary vitreoretinal traction and guiding patient management.