Optic disc edema due to peripapillary choroidal neovascularization

Area of Science:

• Ophthalmology
• Medical Imaging
• Retinal Diseases

Background:

• Myopia is a common refractive error associated with various ocular complications.
• Optic disc edema can be a sign of serious underlying ocular pathology.
• Peripapillary choroidal neovascularization (pCNV) is a known complication in myopic eyes.

Observation:

• A 35-year-old myopic woman presented with unilateral optic disc edema.
• Visual function remained normal despite the disc edema.
• A subtle, crescent-shaped peripapillary subretinal hemorrhage was noted.

Findings:

• The clinical presentation raised suspicion for peripapillary choroidal neovascular membrane (pCNVM).
• Enhanced depth optical coherence tomography (ED-OCT) was utilized for detailed imaging.
• ED-OCT confirmed the presence of a peripapillary choroidal neovascular membrane.

Implications:

• Early detection of pCNVM in myopic individuals is crucial.
• OCT imaging is vital for diagnosing subtle cases of pCNVM.
• Understanding the link between myopia and pCNVM aids in patient management and prognosis.