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Ophthalmic Images
July 12, 2018

Reversible Peripapillary Vascular Loop Change

Author Affiliations
  • 1Department of Ophthalmology, Hanyang University Hospital, Seoul, Korea
  • 2Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea
  • 3Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea
  • 4Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea
JAMA Ophthalmol. 2018;136(7):e181386. doi:10.1001/jamaophthalmol.2018.1386

A 48-year-old man underwent serial fundus photography for eye examination. During a regular checkup in December 2012, the intraocular pressure (IOP) was 11 mm Hg and a vascular loop was discovered from the 10- to 12-o’clock position on the periphery of the optic nerve. Two years later in December 2014, the IOP was 10 mm Hg and the vascular loop had disappeared. Approximately 1 year later, disc hemorrhage and accompanying retinal nerve fiber layer defect were manifest in the inferotemporal part of the optic disc (Figure).

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