Abstract
A 44-year-old asymptomatic man was noted to have a change in the appearance of his right optic nerve on a routine follow-up. Visual function was normal and there was no relative afferent pupillary defect. Optic disc margins were blurred and there was obscuration of the peripapillary retinal vessels in the right eye (figure, A). Optical coherence tomography (OCT) confirmed the diagnosis of vitreopapillary traction (figure, B) creating a pseudo-optic disc edema appearance. Vitreopapillary traction is included in the differential diagnosis of asymptomatic unilateral optic disc edema and OCT sections through the optic nerve head should be considered in these cases.
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