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Disc hypoplasia and optic atrophy

M H Mittelman¹

¹Naval Aerospace and Operational Medical Institute, Department of Ophthalmology, Naval Air Station, Pensacola, FL 32508-1046.

Aviation, Space, and Environmental Medicine

|January 1, 1994

Summary

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An apparently healthy military aviator was diagnosed with optic disc hypoplasia and optic nerve atrophy. These conditions caused visual field defects, impacting aeromedical disposition.

Area of Science:

Ophthalmology
Aerospace Medicine
Neuro-ophthalmology

Background:

Active duty military personnel in aviation are typically healthy.
A patient with a history of head trauma presented with no other complaints.

Observation:

A multidisciplinary evaluation included electrodiagnostics, MRI, and visual fields.
The patient was diagnosed with optic disc hypoplasia in one eye and optic nerve atrophy in the other.

Findings:

Optic disc hypoplasia and optic nerve atrophy presented with distinct visual field defects.
Congenital disc hypoplasia and traumatic optic nerve atrophy were considered in this case.

Implications:

The findings highlight the importance of comprehensive evaluation in seemingly healthy individuals.

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Aeromedical disposition for aviators with these optic nerve disorders requires careful consideration.