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Monocular band optic atrophy

R E Turbin1, L St Louis, D Barr

  • 1Institute for Neurology and Neurosurgery at Beth Israel North, New York Eye and Ear Infirmary, New York University School of Medicine, New York 10128, USA.

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
|December 19, 1998
PubMed
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Band optic atrophy, typically bilateral, presented uniquely as a unilateral visual defect. This case suggests congenital insults, like cortical heterotopia, may cause isolated optic nerve damage.

Area of Science:

  • Ophthalmology and Neurology
  • Neuroscience
  • Genetics

Background:

  • Band optic atrophy classically presents with bilateral optic nerve damage and visual field defects.
  • It is usually linked to postchiasmal visual pathway compression or congenital malformations.
  • Understanding the etiology of unilateral presentations is crucial for diagnosis.

Observation:

  • A unique case of strictly unilateral band optic atrophy was observed.
  • No obvious structural lesion was identified to explain the unilateral optic disc damage.
  • The patient had an incidental finding of cerebral gray matter cortical heterotopia.

Findings:

  • The unilateral optic atrophy lacked a clear compressive or structural cause.
  • Cortical heterotopia, a congenital brain malformation, was incidentally discovered.

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  • This suggests a potential link between congenital insults and isolated optic nerve abnormalities.

    • Implications:

    • This case expands the known spectrum of band optic atrophy presentations.
    • It highlights the possibility of congenital etiologies for seemingly isolated optic nerve damage.
    • Further research may elucidate the connection between cortical malformations and optic neuropathy.