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Case Reports in Ophthalmological Medicine
Volume 2012, Article ID 682659, 3 pages
http://dx.doi.org/10.1155/2012/682659
Case Report

Bilateral Vitreopapillary Traction Demonstrated by Optical Coherence Tomography Mistaken for Papilledema

1Johns Hopkins University School of Medicine, Baltimore, MD 21205-2196, USA
2Wilmer Eye Institute, Johns Hopkins Hospital, Woods 458, 600 N Wolfe Street, Baltimore, MD 21287, USA

Received 31 May 2012; Accepted 16 September 2012

Academic Editors: H. Y. Chen and C.-Y. Cheng

Copyright © 2012 Elizabeth Houle and Neil R. Miller. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. The purpose of this study was to report a case of bilateral vitreopapillary traction, previously misdiagnosed as papilledema. Methods. A case report is presented of a 47-year-old woman with a prior diagnosis of papilledema, who is shown to have bilateral vitreopapillary traction rather than true optic disc swelling, confirmed by optical coherence tomography (OCT). Results. OCT showed vitreous traction surrounding the optic discs of both eyes. Fluorescein angiography demonstrated focal leakage of both discs. Conclusion. Bilateral disc elevation caused by vitreous traction can be confused with papilledema. In such cases, OCT can be used to arrive at the correct diagnosis. Although the phenomenon of vitreopapillary traction is well reported, this case indicates that not all ophthalmologists recognize the condition.