OCT

IOTM: A Congenital Vascular Variant of the Optic Nerve

August 15, 2022
|  Nisha Dave MD, Adam Jacobson MD

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Image of the Month (IOTM) is a collection of interesting clinical cases with high quality images for all relevant imaging modalities (ex: color fundus, OCT, OCTA, FAF, FA, En Face, Red-free, choroidal vasculography (CVG), anterior imaging) and other clinical results if relevant (ex: visual field plots). Each case is submitted by an eye care professional using one of Topcon’s industry-leading OCT devices.

Case background

Topcon TRC-50DX optic nerve photo (A) of a 7 year old girl’s right eye, showing a likely congenital vascular variant. A retinal artery can be seen exiting the optic nerve vertically into the posterior vitreous, forming a loop. Image B is a fundus photo that shows the patient’s normal vasculature, outside of the loop exiting the nerve. Patient’s exam is otherwise unremarkable.

—Adam Jacobson, MD and Nisha Dave, MD

Diagnosis: Congenital Vascular Variant of Optic Nerve

Captured with: Topcon TRC-50DX Mydriatic Retina Camera

TRC-50DX Images:

A. Optic nerve photo showing a congenital vascular variant of the optic nerve, forming a loop

B. Fundus photo that shows the patient’s normal vasculature, outside of the loop exiting the nerve

Captured by: Anna Eppenbrock, Ophthalmic Photographer

Images courtesy of Adam Jacobson, MD and Nisha Dave, MD, Pediatric Ophthalmology, New YorkMedical College.

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Slide B
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TRC-50DX
Mydriatic Retinal Camera
TRC-50DX

The TRC-50DX is a mydriatic retinal camera that incorporates digital-ready features to provide complete retinal imaging

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The opinions, ideas, views and assumptions expressed are the author’s own and do not necessarily represent the views of Topcon, nor do they constitute advice from Topcon.

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