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Ophthalmology

Congenital Anomalies of Optic Nerve

Built from Khurana — Neuro-Ophthalmology

The first 25 slides of Congenital Anomalies of Optic Nerve
The first 25 slides, exactly as they appear. The full deck has 56 content slides.

What’s inside

11 sections · 56 slides

  1. 01

    Overview

    • What this topic covers

    1 slide

  2. 02

    Introduction

    How these anomalies behave and why they matter

    • The general picture
    • How affected children present

    2 slides

  3. 03

    Optic Nerve Hypoplasia (ONH)

    The commonest congenital optic nerve anomaly

    • Optic nerve hypoplasia: the under-built disc
    • Small, pale disc with a double-ring sign
    • Anomalous retinal vessel pattern (monochromatic view)
    • What vision and testing reveal
    • Superior segmental hypoplasia - a special variant
    • The brain connections behind ONH
    • Axial MRI of the brain in optic nerve hypoplasia
    • Axial MRI showing midline cerebral structures
    • Why it happens and who is at risk
    • Hormones, development and management

    10 slides

  4. 04

    Optic Disc Coloboma

    A scooped-out defect of the lower disc

    • Optic disc coloboma: the notched-out disc
    • Excavated optic disc coloboma
    • Complications, associations and causes

    3 slides

  5. 05

    Morning Glory Disc Anomaly

    A funnel-shaped disc that looks like a flower

    • Morning glory disc anomaly
    • Morning glory disc anomaly
    • Systemic links you must not miss

    3 slides

  6. 06

    Peripapillary Staphyloma

    A deep pit around a near-normal disc

    • Peripapillary staphyloma
    • Deep peripapillary excavation, disc at its base
    • Peripapillary excavation on fundus examination
    • Cause and associations

    4 slides

  7. 07

    Optic Disc Pit and Megalopapilla

    A small crater, and an oversized disc

    • Optic disc pit
    • Optic disc pit
    • Optic pit and serous retinal detachment
    • Megalopapilla - the oversized disc

    4 slides

  8. 08

    Congenital Tilted Disc Syndrome

    A disc that sits on a slant

    • Congenital tilted disc syndrome
    • Congenital tilted optic disc

    2 slides

  9. 09

    Optic Disc Drusen

    Lumpy deposits that mimic a swollen disc

    • Optic disc drusen: the great mimic
    • Cause, frequency and associations
    • How drusen are confirmed
    • B-scan ultrasonography of the eye (left)
    • B-scan ultrasonography of the eye (right)

    5 slides

  10. 10

    Myelinated Fibers and Pigmentation

    Extra myelin, and extra pigment

    • Myelinated retinal nerve fibers
    • Myelinated retinal nerve fibers
    • Congenital optic disc pigmentation

    3 slides

  11. 11

    Summary and Self-Test

    • The topic in three ideas
    • Which anomalies need neuro-imaging?
    • Key take-home points
    • How do you tell a morning glory disc from a peripapillary staphyloma at the fundus?
    • References (1/3)
    • References (2/3)
    • References (3/3)
    • Neuro-Ophthalmology

    8 slides