Tilted disk syndrome with superior staphyloma
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Updated: Apr 21, 2026

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Published on: November 17, 2023
Salomon Y Cohen1, Gabriel Quentel
1From Centre Ophtalmologique d'Imagerie et de Laser, Paris, France.
Background:
Tilted disk syndrome is a common condition that consists of inferonasal tilting of the optic disk and is usually associated with staphyloma in the inferonasal fundus.
Case Report:
We describe a 50-year-old woman whose fundus exhibited, in both eyes, all the characteristics of tilted disk syndrome but in an upside-down pattern: superior instead of inferior staphyloma and thinning of the retinal pigment epithelium, a superior instead of an inferonasal crescent, and an inferior instead of a superior visual field defect.
Conclusion:
We have no satisfactory explanation for this unusual case.
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