Dr. med. Philipp Franko Zeitz
Dr. med. Joachim Zeitz


Blumenstrasse 11-15
40212 Düsseldorf

Case 1 presentation

by Dr. Philipp Franko Zeitz, Düsseldorf, Germany

Categories: Optic nerve, vitreoretinal, vascular changes

Key Questions: Pathology or anomaly? Extensive treatment or observation?

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Female, 78 years old

History of non-insulin-dependent diabetes mellitus, history of very mild diabetic retinopathy in the last years without significant changes, mild and well controlled arterial hypertension, otherwise healty, especially no other cardiovascular diseases.

Best-corrected visual acuity: OD 20/20, OS 20/25

IOD: 18/19 mmHg

Anterior segment: OU shallow, but not occludable angle (slightly above 20°), mild cataract, otherwise within normal limits

Fundus: OU optic disc sharp and pink, preretinal sharp bordered kidney-shaped membrane with fine vascularization on the nasal margin of the optic disc (see photos, FLA and OCT), macula without abnormalities, few microaneurysms and dot hemorrhages in the mid-periphery and periphery

Optic nerve photography

Angiography OD

Angiography OS



What caused these changes and how would You proceed?

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