AUGENÄRZTE IN DÜSSELDORF ZENTRUM
Dr. med. Philipp Franko Zeitz
Dr. med. Joachim Zeitz

Menü
Anfahrt

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?

In contrast to other case reports, we present expert-level cases without an unambiguous solution: A case report with a solution will only add more encyclopedic knowledge to Your repertoire, while an open-ended case report will train Your methods. Therefore each case highlights a specific problem expressed in the introduction.We won’t offer the satisfying feeling of solving a puzzle correctly, but something more valuable: You will train Your skills by developing proper methods for “how to proceed” and You will help others to train their skills by giving them your perspective.

Don´t be afraid to send Your opinion even if You do not feel safe. It’s meant to be tough and You may stay anonymous, if You wish so.

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


OCT OD


OCT OS


What caused these changes and how would You proceed?

Send Your opinion

This is a “hidden” case – You have to send Your opinion first to see others´ opinions