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Parapapillary gamma zone hole.

Yi Dai¹, Jost B Jonas, Zhihong Ling

¹*Department of Ophthalmology and Vision Science, Eye & ENT Hospital, Shanghai Medical College ‡State Key Laboratory of Medical Neurobiology, Institutes of Brain Science, Fudan University, Shanghai, China †Department of Ophthalmology, Medical Faculty Mannheim of the Ruprecht-Karls-University, Heidelberg, Germany.

Journal of Glaucoma

|December 5, 2013

Summary

This summary is machine-generated.

Optical coherence tomography revealed a scleral defect in a highly myopic eye, showing a widened cerebrospinal fluid space and an unusual optic disc tilt. This finding highlights the importance of detailed parapapillary region analysis.

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Area of Science:

Ophthalmology
Medical Imaging
Anatomy

Background:

High myopia is associated with various pathological changes in the posterior segment of the eye.
The parapapillary region is particularly susceptible to structural alterations in myopia.

Observation:

A 26-year-old male with high myopia (-10.25 D) presented with a scleral dehiscence in the parapapillary region.
Optical coherence tomography (OCT) demonstrated a scleral defect connecting to a retrobulbar space containing cerebrospinal fluid.

Findings:

The OCT revealed a parapapillary gamma zone hole, widened retrobulbar cerebrospinal fluid space, and an inferior parapapillary intrachoroidal cavitation.
The optic disc exhibited vertical rotation and slight oblique tilting, altering its en face appearance.

Implications:

This case illustrates a rare anatomical variation in a highly myopic eye.
Accurate differentiation of parapapillary zones (beta, gamma, delta) is crucial for understanding these complex myopic changes.