Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for Papilledema
Purpose. The purpose of this study was to report a case of bilateral vitreopapillary traction, previously misdiagnosed as papilledema. Methods. A case report is presented of a 47-year-old woman with a prior diagnosis of papilledema, who is shown to have bilateral vitreopapillary traction rather than...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/682659 |
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| author | Elizabeth Houle Neil R. Miller |
| author_facet | Elizabeth Houle Neil R. Miller |
| author_sort | Elizabeth Houle |
| collection | DOAJ |
| description | Purpose. The purpose of this study was to report a case of bilateral vitreopapillary traction, previously misdiagnosed as papilledema. Methods. A case report is presented of a 47-year-old woman with a prior diagnosis of papilledema, who is shown to have bilateral vitreopapillary traction rather than true optic disc swelling, confirmed by optical coherence tomography (OCT). Results. OCT showed vitreous traction surrounding the optic discs of both eyes. Fluorescein angiography demonstrated focal leakage of both discs. Conclusion. Bilateral disc elevation caused by vitreous traction can be confused with papilledema. In such cases, OCT can be used to arrive at the correct diagnosis. Although the phenomenon of vitreopapillary traction is well reported, this case indicates that not all ophthalmologists recognize the condition. |
| format | Article |
| id | doaj-art-6eb3b91c76a84f348876fef380b70663 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-6eb3b91c76a84f348876fef380b706632025-02-03T06:44:14ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302012-01-01201210.1155/2012/682659682659Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for PapilledemaElizabeth Houle0Neil R. Miller1Johns Hopkins University School of Medicine, Baltimore, MD 21205-2196, USAJohns Hopkins University School of Medicine, Baltimore, MD 21205-2196, USAPurpose. The purpose of this study was to report a case of bilateral vitreopapillary traction, previously misdiagnosed as papilledema. Methods. A case report is presented of a 47-year-old woman with a prior diagnosis of papilledema, who is shown to have bilateral vitreopapillary traction rather than true optic disc swelling, confirmed by optical coherence tomography (OCT). Results. OCT showed vitreous traction surrounding the optic discs of both eyes. Fluorescein angiography demonstrated focal leakage of both discs. Conclusion. Bilateral disc elevation caused by vitreous traction can be confused with papilledema. In such cases, OCT can be used to arrive at the correct diagnosis. Although the phenomenon of vitreopapillary traction is well reported, this case indicates that not all ophthalmologists recognize the condition.http://dx.doi.org/10.1155/2012/682659 |
| spellingShingle | Elizabeth Houle Neil R. Miller Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for Papilledema Case Reports in Ophthalmological Medicine |
| title | Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for Papilledema |
| title_full | Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for Papilledema |
| title_fullStr | Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for Papilledema |
| title_full_unstemmed | Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for Papilledema |
| title_short | Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for Papilledema |
| title_sort | bilateral vitreopapillary traction demonstrated by optical coherence tomography mistaken for papilledema |
| url | http://dx.doi.org/10.1155/2012/682659 |
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