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
What caused these changes and how would You proceed?
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