Vitreopapillary Traction Causing Optic Nerve Head Elevation

TL;DR

A 64-year-old man's cloudy vision was caused by vitreopapillary traction leading to optic nerve head elevation, diagnosed through clinical exams and imaging.

Contribution

This case report adds to the understanding of vitreopapillary traction as a rare cause of optic nerve head elevation.

Findings

Optic nerve head elevation was caused by bilateral dense vitreous adhesions to the optic disc.

Clinical examination and optical coherence tomography were key in diagnosing vitreopapillary traction.

Normal MRI and blood tests ruled out other potential causes of optic disc elevation.

Abstract

Purpose: The purpose of the study is to describe a case of vitreopapillary traction causing optic nerve head elevation.

Observations: This case report describes a 64-year-old male who presented with left cloudy vision for 3 days. Dilated fundus exam showed normal right optic nerve with glial tissue nasally and left optic nerve head elevation and peripapillary hemorrhages in the left eye. Magnetic resonance imaging of the brain and orbits, erythrocyte sedimentation rate, and C-reactive protein were normal. Optical coherence tomography showed bilateral dense vitreous adhesions to the optic disc nasally causing traction and optic nerve head elevation of the left eye. The patient was diagnosed with vitreopapillary traction causing optic nerve head elevation, and observation was recommended.

Conclusions and Importance: This case highlights the importance of clinical examination and ancillary testing in differentiating etiologies of optic disc elevation.

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