A 31-year-old woman developed papilledema from idiopathic intracranial hypertension.
Enhanced-depth imaging optical coherence tomography (EDI-OCT) excluded optic disc
drusen (ODD) but was notable for a peripapillary hyper-reflective ovoid mass-like
structure (PHOMS), contiguous 360 degrees around the optic disc, forming a 3-dimensional
torus (i.e., donut) (Fig.) Radial sections through the right optic nerve head are shown in the left column;
a PHOMS is seen at each of the twelve clock-hours of the peripapillary region in the
middle column and duplicated and shaded yellow in the right column.
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Article info
Publication history
Published online: September 28, 2020
Accepted:
September 1,
2020
Received in revised form:
August 1,
2020
Received:
July 7,
2020
Identification
Copyright
© 2020 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.