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Updated: Mar 29, 2026

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Photopsia and a temporal visual field defect.

Marcela Marsiglia1, Jeffery G Odel1, Danielle S Rudich2

  • 1Department of Ophthalmology, Columbia University, New York, New York, USA.

Survey of Ophthalmology
|November 26, 2015
PubMed
Summary
This summary is machine-generated.

A young woman experienced visual disturbances due to optic nerve hypoplasia and vitreous traction. Early detection and imaging are crucial for diagnosing this rare condition.

Keywords:
flu-like symptomshypoplasia of the optic nervenasal hypoplasia of the optic nervenerve fiber layerphotopsiaswept-source OCTtemporal visual field defectvisual fieldvisual field defect

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Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology

Background:

  • Optic nerve hypoplasia is a congenital condition affecting visual development.
  • Peripapillary vitreous traction can influence optic nerve head morphology and function.

Observation:

  • A 30-year-old woman presented with photopsia and a specific visual field defect in her left eye.
  • Standard ophthalmic examinations were normal, but advanced imaging revealed key abnormalities.
  • Swept-source OCT showed a thinned nasal nerve fiber layer and peripapillary vitreous traction.

Findings:

  • The patient was diagnosed with optic nerve hypoplasia and associated peripapillary vitreous traction.
  • Visual field testing confirmed a dense, sector-shaped defect originating from the blind spot.
  • Despite normal macular OCT and ERGs, optic nerve head findings were significant.

Implications:

  • This case highlights the importance of advanced imaging in diagnosing subtle optic nerve abnormalities.
  • Understanding the interplay between optic nerve hypoplasia and vitreous traction is vital for patient management.
  • Early identification can guide monitoring and potential interventions for visual field defects.