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    Can You Guess March's Mystery Condition?

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    Make your diagnosis in the comments, and look for the answer in next month’s Blink.

    Fig. 1: Fundus examination. Fig. 2: OCT image. Fig. 3: B-scan ultrasonography.

     

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    Bergmeister Papilla

    Written by Trisha Sharma, MBBS, and John P. Mathews, MBBS, FRCS (Edin). Photos by Dr. Sharma. Both authors are at Abergele Hospital, Betsi Cadwaladr Health Board, Wales, U.K.

    Fig. 1: Fundus examination. Fig. 2: OCT image.

    An asymptomatic 21-year-old woman was referred to the emergency eye clinic by her optician, who suspected optic disc edema. The patient had no history of headaches, eye pain, or painful eye movements. She had no significant ocular or family history and was medi­cally fit and well.

    On examination, VA in both eyes was –0.08 logMAR. There was no relative afferent pupillary defect, and color vision in both eyes was normal. Extraocular movements were normal and full, without pain or restriction.

    Anterior segment examination was unremark­able. IOP was 12 mm Hg in each eye. Fundus examination of the right eye was normal. The left eye showed a ring of fibroglial tissue overlying the nasal aspect of the optic disc (Fig. 1). OCT con­firmed the presence of glial tissue over the optic nerve head, extending into the vitreous cavity, with an intact optic disc margin beneath (Fig. 2).

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