Tilted disk syndrome with superior staphyloma.
BACKGROUND
Tilted disk syndrome is a common condition that consists of inferonasal tilting of the optic disk and is usually associated with staphyloma in the inferonasal fundus.


METHODS
We describe a 50-year-old woman whose fundus exhibited, in both eyes, all the characteristics of tilted disk syndrome but in an upside-down pattern: superior instead of inferior staphyloma and thinning of the retinal pigment epithelium, a superior instead of an inferonasal crescent, and an inferior instead of a superior visual field defect.


CONCLUSIONS
We have no satisfactory explanation for this unusual case.
From Centre Ophtalmologique d'Imagerie et de Laser, Paris, France.
Salomon Y
SY
Cohen
Gabriel
G
Quentel