Moyamoya disease presenting as neovascularization of the disc: A Case Report

Abstract

Abstract: : Purpose: To report a 31 year old Asian woman with neovascularization of the disc leading to the diagnosis of moyamoya disease. Clinical Presentation: A 31 year old female with diabetes was referred for visual changes. On examination she had a subhyaloid hemorrhage and unusual appearing neovascularization of the optic disc in the right eye. The left eye appeared normal. Interventions: Because of the asymmetry of the retinal findings a carotid duplex ultrasound was performed and found to be abnormal. A subsequent cerebral angiogram revealed the diagnosis of moyamoya disease. This necessitated a cerebral artery bypass. Panretinal photocoagulation was performed to treat of the right eye. Conclusions: Moyamoya disease is a life threatening disorder of the cerebral vasculature. This is the first reported case of moyamoya disease presenting as neovascularization of the optic disc. Timely diagnosis followed by cerebral artery bypass may be necessary to prevent severe morbidity and mortality in these patients..

Keywords: neovascularization • optic disc