Cargando…

Scleral Cyst Associated with Anomalous Tilted Configuration of the Optic Nerve Head: A Case Report

There is limited published data currently available on scleral cysts in the posterior pole. Here, we detail the case of a patient who was suspected to have a peripapillary scleral cyst imprinting the optic nerve head (ONH) profile. The 52-year-old asymptomatic and otherwise healthy woman presented w...

Descripción completa

Detalles Bibliográficos
Autores principales: Sousa, David Cordeiro, Sacconi, Riccardo, Bandello, Francesco, Querques, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393254/
https://www.ncbi.nlm.nih.gov/pubmed/30739279
http://dx.doi.org/10.1007/s40123-019-0168-8
_version_ 1783398646194110464
author Sousa, David Cordeiro
Sacconi, Riccardo
Bandello, Francesco
Querques, Giuseppe
author_facet Sousa, David Cordeiro
Sacconi, Riccardo
Bandello, Francesco
Querques, Giuseppe
author_sort Sousa, David Cordeiro
collection PubMed
description There is limited published data currently available on scleral cysts in the posterior pole. Here, we detail the case of a patient who was suspected to have a peripapillary scleral cyst imprinting the optic nerve head (ONH) profile. The 52-year-old asymptomatic and otherwise healthy woman presented with unilateral ONH blurred margins of the left eye for 1 year. Her best-corrected visual acuity in the right and left eye was 20/20 and 20/25, respectively. Fundus observation of the right eye revealed no significant abnormalities; on the left eye a tilted disc with blurred margins in the superior quadrants and gliosis-associated changes in the lower quadrants were identified. Structural optical coherence tomography (OCT) showed a posterior hyporeflective cystic space at the level of the ONH, and OCT-angiography revealed flow void. The differential diagnosis of ONH edema was considered and the case discussed with the neuro-ophthalmology unit. Given the clinical history, the absence of symptoms and the multimodal imaging findings, a peripapillary scleral cyst was considered to be the most likely explanation for the edematous appearance and the anomalous tilted configuration of the ONH. This case suggests that although rare, even more so in the absence of an ONH coloboma, a postequatorial scleral cyst should be considered in the differential diagnosis of ONH lesions.
format Online
Article
Text
id pubmed-6393254
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Springer Healthcare
record_format MEDLINE/PubMed
spelling pubmed-63932542019-03-15 Scleral Cyst Associated with Anomalous Tilted Configuration of the Optic Nerve Head: A Case Report Sousa, David Cordeiro Sacconi, Riccardo Bandello, Francesco Querques, Giuseppe Ophthalmol Ther Case Report There is limited published data currently available on scleral cysts in the posterior pole. Here, we detail the case of a patient who was suspected to have a peripapillary scleral cyst imprinting the optic nerve head (ONH) profile. The 52-year-old asymptomatic and otherwise healthy woman presented with unilateral ONH blurred margins of the left eye for 1 year. Her best-corrected visual acuity in the right and left eye was 20/20 and 20/25, respectively. Fundus observation of the right eye revealed no significant abnormalities; on the left eye a tilted disc with blurred margins in the superior quadrants and gliosis-associated changes in the lower quadrants were identified. Structural optical coherence tomography (OCT) showed a posterior hyporeflective cystic space at the level of the ONH, and OCT-angiography revealed flow void. The differential diagnosis of ONH edema was considered and the case discussed with the neuro-ophthalmology unit. Given the clinical history, the absence of symptoms and the multimodal imaging findings, a peripapillary scleral cyst was considered to be the most likely explanation for the edematous appearance and the anomalous tilted configuration of the ONH. This case suggests that although rare, even more so in the absence of an ONH coloboma, a postequatorial scleral cyst should be considered in the differential diagnosis of ONH lesions. Springer Healthcare 2019-02-10 2019-03 /pmc/articles/PMC6393254/ /pubmed/30739279 http://dx.doi.org/10.1007/s40123-019-0168-8 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Sousa, David Cordeiro
Sacconi, Riccardo
Bandello, Francesco
Querques, Giuseppe
Scleral Cyst Associated with Anomalous Tilted Configuration of the Optic Nerve Head: A Case Report
title Scleral Cyst Associated with Anomalous Tilted Configuration of the Optic Nerve Head: A Case Report
title_full Scleral Cyst Associated with Anomalous Tilted Configuration of the Optic Nerve Head: A Case Report
title_fullStr Scleral Cyst Associated with Anomalous Tilted Configuration of the Optic Nerve Head: A Case Report
title_full_unstemmed Scleral Cyst Associated with Anomalous Tilted Configuration of the Optic Nerve Head: A Case Report
title_short Scleral Cyst Associated with Anomalous Tilted Configuration of the Optic Nerve Head: A Case Report
title_sort scleral cyst associated with anomalous tilted configuration of the optic nerve head: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393254/
https://www.ncbi.nlm.nih.gov/pubmed/30739279
http://dx.doi.org/10.1007/s40123-019-0168-8
work_keys_str_mv AT sousadavidcordeiro scleralcystassociatedwithanomaloustiltedconfigurationoftheopticnerveheadacasereport
AT sacconiriccardo scleralcystassociatedwithanomaloustiltedconfigurationoftheopticnerveheadacasereport
AT bandellofrancesco scleralcystassociatedwithanomaloustiltedconfigurationoftheopticnerveheadacasereport
AT querquesgiuseppe scleralcystassociatedwithanomaloustiltedconfigurationoftheopticnerveheadacasereport