Topless Optic Disk Syndrome
General: Superior segmental optic hypoplasia.
Ocular: Relative superior entrance of the central retinal artery; thinning of the superior peripapillary nerve fiber layer; superior peripapillary scleral halo; pallor of the superior disk.
Clinical: Patients usually have good visual acuity and an inferior altitudinal or sector-like field defect; all reported patients either are children of mothers with type I diabetes mellitus or are Japanese.
Hashimoto M, et al. Topless optic disk syndrome without maternal diabetes mellitus. Am J Ophthalmol 1999; 128: 111-l12.
Kim RY, et al. Superior segmental optic hypoplasia: a sign of maternal diabetes. Arch Ophthalmol 1989; 107: 1312-l315.
Landau K, Bajka JD, Kirchschlager BM. Topless optic disks m children of mothers with type I diabetes mellitus. Am J Ophthalmol 1997; 125:605-611.
Peterson RA, Walton DS. Optic nerve hypoplasia with a good, visual acuity and visual field defects. Arch Ophthalmol 1977; 95:254-258.
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