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Peripapillary Hyperreflective Ovoid Mass-Like Structure as an Optic Disc Pseudo-Edema Case Report and Review
Rafaela Saalfeld1, Ana H Hirata Choi2, Leonardo P Zeni1
1Retina Department, Post-Graduation Program, Ivo Corrêa-Meyer Institute, Porto Alegre, Brazil.
Case Reports in Ophthalmological Medicine
|February 12, 2026
Summary
Peripapillary hyperreflective ovoid mass-like structures (PHOMS) are distinct from optic disc drusen. This case highlights PHOMS differentiation from papilledema, suggesting PHOMS may indicate optic nerve damage.
Area of Science:
- Ophthalmology
- Neuro-ophthalmology
Background:
- The peripapillary hyperreflective ovoid mass-like structure (PHOMS) is a distinct finding from optic disc drusen (ODD).
- The role of PHOMS as an independent risk factor for optic nerve diseases is currently unclear.
Purpose of the Study:
- To present a case study differentiating PHOMS from papilledema.
- To emphasize the need for dedicated examination of PHOMS in various disease groups.
Main Methods:
- Case presentation of a 12-year-old child diagnosed with PHOMS.
- Utilized multimodal ophthalmic imaging, including optical coherence tomography (OCT).
Main Results:
- OCT revealed a peripapillary hyperreflective ovoid mass without calcification.
- The case showed no signs of increased intracranial pressure or subretinal fluid, distinguishing it from papilledema.
- Visual acuity was preserved, and no neurological abnormalities were detected.
Conclusions:
- This case highlights key clinical and imaging distinctions between PHOMS and papilledema.
- Further longitudinal studies are needed to establish PHOMS as a biomarker for optic nerve damage severity.
Keywords:
optic disc drusenoptic disc edemaoptic nerveoptical coherence tomographyperipapillary hyperreflective ovoid mass-like structuresMore Related Videos
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