The patient presented to the emergency room (ER) with recent-onset photopsia and blurred vision in the left eye, ocular discomfort, and headache. Examination revealed 20/25 vision in the left eye, blurred disc margin, and inferior disc hemorrhage. MRI orbit was unrevealing. Ancillary testing revealed elevated RNFL thickness to 243 microns OS, with a supratemporal field defect. Follow-up imaging after 4 weeks revealed improvement of disc edema, normal ganglion cell complex, and stable visual field. OCT optic nerve showed vitreopapillary traction in the left eye. The patient was conservatively monitored, with stable vision, visual field, and remained stable at the follow-up visit. This case highlights vitreopapillary traction syndrome can mimic anterior ischemic optic neuropathy and the differential diagnosis should be considered in the appropriate clinical setting.
Presentation Date: 05/13/2021
Issue Date: 05/28/2021