Vitreopapillary Traction Causing Optic Nerve Head Elevation

Purpose: The purpose of the study is to describe a case of vitreopapillary traction causing optic nerve head elevation. Observations: This case report describes a 64-year-old male who presented with left cloudy vision for 3 days. Dilated fundus exam showed normal right optic nerve with glial tissue nasally and left optic nerve head elevation and peripapillary hemorrhages in the left eye. Magnetic resonance imaging of the brain and orbits, erythrocyte sedimentation rate, and C-reactive protein were normal. Optical coherence tomography showed bilateral dense vitreous adhesions to the optic disc nasally causing traction and optic nerve head elevation of the left eye. The patient was diagnosed with vitreopapillary traction causing optic nerve head elevation, and observation was recommended. Conclusions and Importance: This case highlights the importance of clinical examination and ancillary testing in differentiating etiologies of optic disc elevation.