Pseudophakic adult with progressive optic disc tilt and axial length elongation
Purpose: To describe a case of progressive optic disc tilt in a pseudophakic Asian adult associated with an increase in axial length. Observations: A 28-year-old man presented with high myopia in the right eye with an axial length of 30.4 mm and refraction of −13.75 diopters (D) spherical equivalent...
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doaj-be5e180c5fb5418d97d2be517f1112f52020-11-25T03:48:39ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-09-0119100814Pseudophakic adult with progressive optic disc tilt and axial length elongationRyan T. Yanagihara0Priscilla Nobrega1Philip P. Chen2Department of Ophthalmology, University of Washington, 908 Jefferson St, Seattle, WA, 98104, USADepartment of Ophthalmology, University of Washington, 908 Jefferson St, Seattle, WA, 98104, USACorresponding author. University of Washington Medicine Eye Institute, Box 359608, 325 Ninth Ave, Seattle, WA, 98104-2499, USA.; Department of Ophthalmology, University of Washington, 908 Jefferson St, Seattle, WA, 98104, USAPurpose: To describe a case of progressive optic disc tilt in a pseudophakic Asian adult associated with an increase in axial length. Observations: A 28-year-old man presented with high myopia in the right eye with an axial length of 30.4 mm and refraction of −13.75 diopters (D) spherical equivalent (SE). The refraction was plano sphere after LASIK and LASIK enhancement. The left eye was blinded by retinal detachment after phacoemulsification. Six years later, the right eye axial length was 31.65 mm when he underwent phacoemulsification with intraocular lens placement for nuclear sclerosis, after which the refraction was −0.50 D SE. The right eye refraction changed progressively over 13 years after cataract surgery to −4.00 D SE, at which time the axial length was 33.69 mm. A notable increase in optic disc tilt and peripapillary atrophy was evident on comparison of fundus photographs taken 11 years apart. Conclusions: Although progressive optic disc tilt in conjunction with increasing axial myopia in pediatric populations has been documented, it has not been reported in adults but may occur. Scleral stretching due to axial length elongation associated with loss of accommodation after cataract surgery and worsening peripapillary atrophy are possible causes of this finding.http://www.sciencedirect.com/science/article/pii/S245199362030147XMyopiaOptic disc tiltPseudophakiaPeripapillary atrophyRefractive error |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ryan T. Yanagihara Priscilla Nobrega Philip P. Chen |
spellingShingle |
Ryan T. Yanagihara Priscilla Nobrega Philip P. Chen Pseudophakic adult with progressive optic disc tilt and axial length elongation American Journal of Ophthalmology Case Reports Myopia Optic disc tilt Pseudophakia Peripapillary atrophy Refractive error |
author_facet |
Ryan T. Yanagihara Priscilla Nobrega Philip P. Chen |
author_sort |
Ryan T. Yanagihara |
title |
Pseudophakic adult with progressive optic disc tilt and axial length elongation |
title_short |
Pseudophakic adult with progressive optic disc tilt and axial length elongation |
title_full |
Pseudophakic adult with progressive optic disc tilt and axial length elongation |
title_fullStr |
Pseudophakic adult with progressive optic disc tilt and axial length elongation |
title_full_unstemmed |
Pseudophakic adult with progressive optic disc tilt and axial length elongation |
title_sort |
pseudophakic adult with progressive optic disc tilt and axial length elongation |
publisher |
Elsevier |
series |
American Journal of Ophthalmology Case Reports |
issn |
2451-9936 |
publishDate |
2020-09-01 |
description |
Purpose: To describe a case of progressive optic disc tilt in a pseudophakic Asian adult associated with an increase in axial length. Observations: A 28-year-old man presented with high myopia in the right eye with an axial length of 30.4 mm and refraction of −13.75 diopters (D) spherical equivalent (SE). The refraction was plano sphere after LASIK and LASIK enhancement. The left eye was blinded by retinal detachment after phacoemulsification. Six years later, the right eye axial length was 31.65 mm when he underwent phacoemulsification with intraocular lens placement for nuclear sclerosis, after which the refraction was −0.50 D SE. The right eye refraction changed progressively over 13 years after cataract surgery to −4.00 D SE, at which time the axial length was 33.69 mm. A notable increase in optic disc tilt and peripapillary atrophy was evident on comparison of fundus photographs taken 11 years apart. Conclusions: Although progressive optic disc tilt in conjunction with increasing axial myopia in pediatric populations has been documented, it has not been reported in adults but may occur. Scleral stretching due to axial length elongation associated with loss of accommodation after cataract surgery and worsening peripapillary atrophy are possible causes of this finding. |
topic |
Myopia Optic disc tilt Pseudophakia Peripapillary atrophy Refractive error |
url |
http://www.sciencedirect.com/science/article/pii/S245199362030147X |
work_keys_str_mv |
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