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Varix of the optic disk

L Joffe, W H Annesley, J A Shields

    American Journal of Ophthalmology
    |October 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    A saccular dilatation on the optic nerve head, likely a central retinal vein variation, showed signs of thrombosis. No visual impairment occurred, and the patient was monitored without intervention.

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    Area of Science:

    • Ophthalmology
    • Vascular imaging
    • Optic nerve head anatomy

    Background:

    • Saccular dilatations on the optic nerve head are rare vascular anomalies.
    • Central retinal vein (CRV) variations can present as outpouchings.
    • Asymptomatic presentation necessitates careful observation.

    Observation:

    • A 74-year-old female presented with an incidental finding of a saccular dilatation on her optic nerve head.
    • The lesion was presumed to be a dilation of the central retinal vein.
    • Over a four-month period, evidence of thrombosis and stagnation developed within the saccular lesion.

    Findings:

    • The optic nerve head lesion did not affect retinal arterial or venous circulation.
    • Thrombosis and stagnation within the saccular dilatation were observed.

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  • The patient remained asymptomatic throughout the observation period.

    • Implications:

    • This case highlights the importance of monitoring asymptomatic vascular anomalies of the optic nerve head.
    • Understanding CRV variations is crucial for accurate diagnosis and management.
    • Conservative management may be appropriate for such lesions if visual function is preserved.