Disc hypoplasia and optic atrophy

The active duty military population serving within aviation-related specialties is generally considered healthy. Our patient revealed a history of closed head trauma at age 15, with no other complaints. A deliberate and comprehensive multidisciplinary clinical evaluation using electrodiagnostic apparatus, MRI and automated visual fields enabled us to diagnose two separate, yet interesting pathological conditions in an apparently healthy individual. Optic disc hypoplasia in one eye and bowtie atrophy in the other revealed very interesting visual field defects as well as characteristic physical findings. Disc hypoplasia and optic atrophy related to trauma is discussed in this case of congenital disc hypoplasia and bowtie atrophy. The aeromedical disposition of the patient, as related to these disorders will also be discussed.