Multiple wedge-shaped retinal nerve fiber layer defects in a patient with optic nerve glioma in the contralateral eye: case report.
This case report describes a young non-glaucomatous patient with neurofibromatosis and previous history of optic nerve glioma, which developed multiple wedge-shaped retinal nerve fiber layer defects close to a chorioretinal scar in the fellow eye. After discussing the different possible etiologies to the wedge-shaped defects, the disruption of the nerve fiber layer due to the chorioretinal lesion was considered the most plausible cause. However, further follow-up with visual field assessment, optic nerve head documentation and neuroimaging is mandatory in this case and may provide additional information to better understand it.
Magalhães
Fernanda Pedreira
FP
Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Prata
Tiago Santos
TS
Lima
Verônica Castro
VC
Teixeira
Luiz Fernando
LF
Manso
Paulo Góis
PG
D015862:Choroid Diseases / Q000473:pathology*; D002921:Cicatrix / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009456:Neurofibromatosis 1 / Q000473:pathology*; D020339:Optic Nerve Glioma / Q000473:pathology*; D012164:Retinal Diseases / Q000473:pathology*; D055815:Young Adult