Abstract
A 5-year-old boy had a visual acuity of 20/80 in the right eye (OD) and 20/20 in the left eye (OS). Examination showed anisometropia (+1.00 OD and plano OS) without strabismus. Retinal examination demonstrated segmental hypoplasia of the temporal optic disc with absence of the corresponding retinal nerve fiber layer (Fig A-B). Despite a structural defect involving the temporal disc and papillomacular bundle, combined treatment with glasses providing his full cycloplegic refraction and part-time occlusion OS resulted in visual improvement to 20/20 OD.
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