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Pseudoduplication of the optic disc in moderate myopia
Zeynep Eylül Ercan1, Aylin Karalezli2, Gokcen Coban3
1Department of Ophthalmology, Baskent University School of Medicine, Ankara, Turkey.
Summary
This study presents a case of acquired optic disc pseudoduplication in a patient without pathological myopia. This finding suggests that optic disc pseudoduplication can occur in all myopic patients, not just those with pathological myopia.
Area of Science:
- Ophthalmology
- Medical Imaging
- Retinal Diseases
Background:
- Optic disc pseudoduplication is typically associated with pathological myopia or colobomas.
- Acquired optic disc pseudoduplication can present diagnostic challenges.
Purpose of the Study:
- To report a case of optic disc pseudoduplication in a patient without pathological myopia.
- To suggest that acquired optic disc pseudoduplication may occur in a broader range of myopic patients.
Main Methods:
- Case report of a 79-year-old woman with decreased vision.
- Ophthalmological examination including fundus fluorescein angiography.
- Magnetic resonance imaging (MRI) scan of the orbit.
Main Results:
- The patient exhibited macular drusen, subretinal hemorrhage, and inferior optic disc pseudoduplication.
- The patient's axial length did not meet criteria for pathological myopia.
- No pathological fundus lesions typical of elongated sclera were observed.
Conclusions:
- Acquired optic disc pseudoduplication can occur in myopic patients without pathological myopia.
- The differential diagnosis for optic disc pseudoduplication should include conditions beyond pathological myopia.
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