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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 11  |  Page : 2530

Optic disc pseudoduplication accompanied with macular hole


1 Eye Research Center, Department of Ophthalmolgy, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Date of Web Publication26-Oct-2020

Correspondence Address:
Dr. Yasaman Zarrin
No 84, Asiab Alley, East Nazar Street, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_927_20

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How to cite this article:
Fazel F, Zarrin Y, Fazel M. Optic disc pseudoduplication accompanied with macular hole. Indian J Ophthalmol 2020;68:2530

How to cite this URL:
Fazel F, Zarrin Y, Fazel M. Optic disc pseudoduplication accompanied with macular hole. Indian J Ophthalmol [serial online] 2020 [cited 2020 Nov 30];68:2530. Available from: https://www.ijo.in/text.asp?2020/68/11/2530/299121



A 68-year-old man presented with decreased vision in his left eye since 2 months ago. His best corrected visual acuity (BCVA) was 20/400. During the fundus examination, a disc-like lesion was observed inferior to the left optic nerve. A full-thickness macular hole was also detected and determined to be the main cause of his declining vision which needed surgical management [Figure 1]a. fluorescein angiography was performed [Figure 1]b, and B-scan ultrasonography then revealed that there was only one true optic nerve.
Figure 1: (a) Color fundus photograph of the left eye revealed optic nerve pseudo duplication. The colobomatous lesion was half disc diameter in size and mildly excavated. (b) Fluorescein angiogram showed that the inferotemporal retinal vein dipped in the lesion before reaching the optic nerve; however, the arterial vasculature seemed to be normal

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Optic disc doubling is very rare in humans but colobamatous lesions, as seen in our case, can simulate the optic nerve.[1],[2]

Optic disc congenital colobomas are very rare and may be diagnosed as optic disc duplication which does not usually impair the patient's visual acuity and might be accompanied by other retinal lesions.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Islam N, Best J, Mehta JS, Sivakumar S, Plant GT, Hoyt WF. Optic disc duplication or coloboma? Br J Ophthalmol 2005;89:26-9.  Back to cited text no. 1
    
2.
Padhi TR, Samal B, Kesarwani S, Basu S, Das T. Optic disc doubling. J Neuroophthalmol 2012;32:238-9.  Back to cited text no. 2
    


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