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Dynamic Atypical Optic Nerve Coloboma Associated With Transient Macular Detachment
Arch Ophthalmol. 2005;123:1750-1754.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Though infrequently encountered by most ophthalmologists, optic nerve pits and optic nerve colobomas (typical and atypical) are well known cavitary optic disc anomalies.1-2 Maculopathy characterized by macular schisis, outer layer detachments, and occasionally outer layer holes are frequently associated with cavitary optic disc anomalies.1, 3-4 The etiology of the maculopathy and source of the subretinal fluid are unknown but both systemic and intraocular factors have been proposed.3-9
Fluctuations, and even spontaneous resolution, of the described maculopathy can occur but are uncommon.1, 3, 5, 10 Though other cavitary optic disc anomalies have rarely been reported to fluctuate in appearance,11-13 we are unaware of any previous reports of fluctuating optic pits or atypical colobomas. We present 3 unique cases in which the fluctuating appearance of an atypical optic nerve coloboma is associated with spontaneous resolution of the associated maculopathy.
Report of Cases
Case 1. A 40-year-old white woman sought care because of a 1-week history of decreased vision in . . . [Full Text of this Article] Comment
AUTHOR INFORMATION
Stephen L. Perkins, MD;
Dennis P. Han, MD;
John R. Gonder, MD;
Paul E. Beaumont, MBBS, FRACO, FRACS;
George Colev, FRCS
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