Abstract

A 7-year-old girl had 20/25 vision in the right eye (OD) (with correction) and 20/20 vision in the left eye (OS), with no afferent pupillary defect. Retinoscopy showed –4.75 OD and plano OS. Retinal examination showed a small tilted right optic disc, with a temporal crescent of retinal pigment epithelium (RPE) and choroid pierced inferotemporally by a retinal vein (Fig A). OCT showed a smaller right disc with a smaller neuroretinal rim and cup volume (Fig B), but equal retinal nerve fiber layer (RNFL) (Fig B) and ganglion cell thickness (bottom left).

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