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Tilted disk syndrome with superior staphyloma
Salomon Y Cohen1, Gabriel Quentel
1From Centre Ophtalmologique d'Imagerie et de Laser, Paris, France.
Retinal Cases & Brief Reports
|November 13, 2014
Summary
This study reports an unusual case of tilted optic disk syndrome presenting with an inverted pattern, featuring superior staphyloma and inferior visual field defects. This atypical presentation challenges current understandings of tilted disk syndrome.
Area of Science:
- Ophthalmology
- Optic Nerve Disorders
- Retinal Imaging
Background:
- Tilted disk syndrome is a common optic nerve anomaly characterized by inferonasal tilting.
- It is typically associated with inferonasal fundus staphyloma.
Purpose of the Study:
- To describe a rare case of tilted disk syndrome with an atypical, inverted presentation.
- To highlight the variations in optic disk anomalies and their associated fundus findings.
Main Methods:
- Case report of a 50-year-old woman with bilateral fundus abnormalities.
- Detailed funduscopic examination and visual field testing were performed.
Main Results:
- The patient presented with an 'upside-down' tilted disk syndrome.
- Key findings included superior staphyloma, superior retinal pigment epithelium thinning, a superior crescent, and an inferior visual field defect.
Conclusions:
- The case presents an unusual variant of tilted disk syndrome.
- The etiology of this inverted presentation remains unexplained.
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