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Updated: Aug 31, 2025

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Denver Papillae Protocol for Objective Analysis of Fungiform Papillae
Published on: June 8, 2015
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RIDGE-SHAPED PERIPAPILLA
Taku Wakabayashi1, Yoshihiro Yonekawa1, Kyoko Ohno-Matsui2
1Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania.
Retinal Cases & Brief Reports
|August 25, 2022
Summary
A novel finding in myopia: ridge-shaped peripapilla, a distinct optic disk morphology, can cause peripapillary subretinal fluid. This condition involves scleral thickening and retinal pigment epithelium atrophy.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Myopia Research
Background:
- Myopia is a common refractive error with various ocular complications.
- Peripapillary abnormalities can affect visual function and require detailed investigation.
Observation:
- A case report details a 6-year-old girl with myopia presenting with an unusual fundus appearance.
- The patient exhibited a ridge-shaped elevation temporal to the optic disk with pigmentary changes.
Findings:
- Spectral domain optical coherence tomography revealed subretinal fluid, thinned choroid, and scleral protrusion.
- Fluorescein angiography indicated retinal pigment epithelium atrophy without choroidal neovascularization.
- The findings suggest scleral protrusion caused choroidal changes and subsequent subretinal fluid.
Implications:
- This case introduces 'ridge-shaped peripapilla' as a new descriptor for a specific optic disk morphology in myopic eyes.
- Understanding this entity is crucial for diagnosing and managing peripapillary subretinal fluid in myopic patients.
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