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J. G. McHenry, Y. He, K. Itani, S. Fu; Optic Neuropathy and Vitreo-Papillary Traction. Invest. Ophthalmol. Vis. Sci. 2008;49(13):6016.
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A recently described cause of pseudopapilledema is traction from vitreo-papillary membranes. We describe an optic neuropathy associated with such membranes.
The records of ten patients with vitreo-papillary membranes seen by B-scan ultrasonography were reviewed.
Visual field defects by Humphrey Visual Field included enlargement of the blind spot, generalized depression, generally constriction and paracentral scotomas. Membrances could be observed on optical coherence tomography (OCT).
Patients with optic neuropathies, visual field defects and disc swelling without elevated intracranial pressure should have B-scans of the optic nerve and OCTs. Consideration should be given to vitrectomy and membrane sectioning for visual loss.
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