PMID- 24906342 OWN - NLM STAT- MEDLINE DCOM- 20150415 LR - 20211021 IS - 1435-702X (Electronic) IS - 0721-832X (Linking) VI - 252 IP - 11 DP - 2014 Nov TI - Evaluation of congenital excavated optic disc anomalies with spectral-domain and swept-source optical coherence tomography. PG - 1853-60 LID - 10.1007/s00417-014-2680-9 [doi] AB - PURPOSE: To investigate the anatomic characteristics of congenital excavated optic disc anomalies by using fundus photography, spectral-domain optical coherence tomography (SD-OCT), and swept-source optical coherence tomography (SS-OCT). METHODS: Fourteen eyes from 13 patients with congenital excavated optic disc anomalies underwent a complete ophthalmologic examination that included best-corrected visual acuity evaluation, fundus photography, and SD-OCT. SS-OCT was performed in cases of peripapillary staphyloma cases in which the excavation depth could not be detected with SD-OCT. On the basis of the funduscopic and OCT findings, patients were classified as morning glory syndrome, optic disc coloboma, or peripapillary staphyloma. RESULTS: Seven eyes with morning glory syndrome were characterized by the presence of the preretinal tractional membrane in front of the excavated optic disc and could be divided into two groups: three eyes without retinal excavation, and four eyes with retinal excavation. Four eyes with optic disc coloboma showed inferiorly decentered scleral excavations with shallow optic disc excavation detectable by SD-OCT. Three eyes with peripapillary staphyloma showed deep excavation, the depth of which could not be detected by SD-OCT. SS-OCT and enhanced depth imaging SD-OCT images focused on the bottom revealed membranous structure at the bottom of the excavation in two cases with peripapillary staphyloma. CONCLUSIONS: SD-OCT and SS-OCT are helpful for differential diagnosis of excavated optic disc anomalies. Morning glory syndrome, optic disc coloboma, and peripapillary staphyloma were respectively characterized by the presence of a preretinal tractional membrane, inferiorly decentered excavation, and an excavation deeper than that observed in morning glory syndrome and optic disc coloboma. FAU - Lee, Kyoung Min AU - Lee KM AD - Department of Ophthalmology, Seoul National University College of Medicine, Seoul, South Korea. FAU - Woo, Se Joon AU - Woo SJ FAU - Hwang, Jeong-Min AU - Hwang JM LA - eng PT - Journal Article DEP - 20140607 PL - Germany TA - Graefes Arch Clin Exp Ophthalmol JT - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JID - 8205248 RN - Coloboma of optic nerve SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Coloboma/*diagnosis MH - Diagnosis, Differential MH - Female MH - Humans MH - Male MH - Middle Aged MH - Optic Disk/abnormalities/*pathology MH - Optic Nerve/*abnormalities MH - Photography MH - *Tomography, Optical Coherence/methods MH - Visual Acuity/physiology MH - Young Adult EDAT- 2014/06/08 06:00 MHDA- 2015/04/16 06:00 CRDT- 2014/06/08 06:00 PHST- 2014/01/28 00:00 [received] PHST- 2014/05/20 00:00 [accepted] PHST- 2014/05/13 00:00 [revised] PHST- 2014/06/08 06:00 [entrez] PHST- 2014/06/08 06:00 [pubmed] PHST- 2015/04/16 06:00 [medline] AID - 10.1007/s00417-014-2680-9 [doi] PST - ppublish SO - Graefes Arch Clin Exp Ophthalmol. 2014 Nov;252(11):1853-60. doi: 10.1007/s00417-014-2680-9. Epub 2014 Jun 7.