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Optic Nerve Transection: A Model of Adult Neuron Apoptosis in the Central Nervous System

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Published on: May 12, 2011

Vitreopapillary Traction Causing Optic Nerve Head Elevation.

Mohamed M Khodeiry^1,2, Mohammad Ayoubi³, Christopher A Dorizas³

¹University of Miami Health System, Bascom Palmer Eye Institute, Miami, Florida, USA.

Case Reports in Ophthalmological Medicine

|May 2, 2025

Summary

This summary is machine-generated.

Vitreopapillary traction, where vitreous humor adheres to the optic disc, can cause optic nerve head elevation. This case highlights the importance of clinical examination and imaging in diagnosing such conditions.

Keywords:

optic nerve head elevation optic neuropathy vitreopapillary traction

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Area of Science:

Ophthalmology
Neuro-ophthalmology

Background:

Optic nerve head elevation can be caused by various conditions, necessitating accurate diagnosis.
Vitreopapillary traction is a less common cause, characterized by vitreous adhesion to the optic disc.

Observation:

A 64-year-old male presented with sudden onset of cloudy vision in the left eye.
Fundus examination revealed optic nerve head elevation and peripapillary hemorrhages in the left eye.
Optical coherence tomography (OCT) demonstrated bilateral dense vitreous adhesions causing nasal traction on the optic disc.

Findings:

The patient was diagnosed with vitreopapillary traction leading to optic nerve head elevation.
Systemic inflammatory markers and neuroimaging were unremarkable, ruling out other causes.
The condition was managed conservatively with observation.

Implications:

This case underscores the significance of thorough clinical assessment and ancillary tests, such as OCT, in differentiating optic disc elevation etiologies.
Recognizing vitreopapillary traction is crucial for appropriate patient management and avoiding unnecessary interventions.