title: [Enlarged optic nerve head excavation in children].
abstract: OBJECTIVE
  To present a series of children with enlarged optic disc excavation (EODE) and to define clinicaL parameters for additional investigational workup.
  
  
  METHODS
  Retrospective review of medical records.
  
  
  RESULTS
  Twelve children were included in this study. The average cup to disc ratio was 0.75 in both eyes. Indications for neuroimaging included: premature birth, a congenital syndrome, and visual field defects. Neuroimaging was also performed in 3 cases of incidental EODE. Physiological cupping was diagnosed in 11 of the 12 cases (92%). In one cases (8%), periventricular leucomalacia was diagnosed after neuroimaging. No deterioration was observed in visual acuity or cup to disc ratio during a one year follow-up.
  
  
  CONCLUSIONS
  An incidental finding of EODE, in the absence of a significant medical history and with a normal neuro-ophthalmologic examination, can be diagnosed as physiologic cupping and requires no further workup.
authors.affiliation: Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Daphna
authors.initials: D
authors.lastname: Mezad-Koursh
authors.forename: Igal
authors.initials: I
authors.lastname: Leibovitch
authors.forename: Anat
authors.initials: A
authors.lastname: Loewenstein
authors.forename: Shimon
authors.initials: S
authors.lastname: Kurtz
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D059906:Neuroimaging / Q000379:methods*; D009898:Optic Disk / Q000473:pathology*; D047928:Premature Birth; D012189:Retrospective Studies; D014792:Visual Acuity; D014794:Visual Fields