Peripapillary retinal nerve fiber layer thickening associated with vitreopapillary traction.

Abstract

PURPOSE:

To report two cases of retinal nerve fiber layer (RNFL) thickening as measured by Cirrus high-definition spectral-domain optical coherence tomography (OCT) associated with vitreopapillary traction.

METHODS:

Consecutive peripapillary RNFL thickness assessments were performed using OCT in eyes with glaucoma and ocular hypertension.

RESULTS:

OCT measurements revealed RNFL thickening when compared with the prior examination. A vitreopapillary traction to the thickened side of the RNFL was noted in a cross-sectional image of the optic nerve head obtained by OCT.

CONCLUSION:

Given that RNFL thickening can mask glaucomatous changes of the RNFL, caution is needed in glaucoma evaluation in eyes with vitreopapillary traction to the RNFL.

• Authors: Young Hoon Hwang, Yong Yeon Kim
• Journal: Seminars in ophthalmology (Semin Ophthalmol) Vol. 30 Issue 2 Pg. 136-8 (Mar 2015) ISSN: 1744-5205 [Electronic] England
• PMID: 24171792 (Publication Type: Case Reports, Journal Article)

Topics

• Eye Diseases (diagnosis, etiology)
• Glaucoma, Open-Angle (complications)
• Humans
• Male
• Middle Aged
• Nerve Fibers (pathology)
• Ocular Hypertension (complications)
• Optic Disk (pathology)
• Retinal Ganglion Cells (pathology)
• Tomography, Optical Coherence
• Traction
• Vitreous Body (pathology)