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Arch Ophthalmol. 2006;124:279-281.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The interface between the vitreous and optic nerve head is difficult to evaluate clinically. While vitreomacular traction has been well described, less attention has focused on the clinical effects of persistent attachment of contracting vitreous to the optic nerve head, especially as an isolated phenomenon. Both vitreomacular and vitreopapillary traction occur as manifestations of anomalous posterior vitreous detachment.¹ Evaluation of the posterior vitreous cortex has been recently enhanced by optical coherence tomography (OCT). We describe 2 patients referred for neuro-ophthalmic evaluation of papilledema in whom optic nerve head elevation was shown by OCT to be caused by vitreopapillary traction in the absence of diabetic vitreoretinopathy or central retinal vein occlusion.

Report of Cases

Case 1

An 87-year-old woman was referred for evaluation of apparent optic nerve head swelling in her right eye. She had undergone phacoemulsification with intraocular lens placement in her left eye 3 months prior to evaluation. She was pleased with the vision . . . [Full Text of this Article]

Case 2

Comment

AUTHOR INFORMATION
Thomas R. Hedges III, MD; Nancy L. Flattem, MD; Arlene Bagga, MD