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Ophthalmic Images
September 12, 2019

Bergmeister Papilla With Overlying Traction

Author Affiliations
  • 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida
  • 2Department of Ophthalmology, Miami Veterans Administration Medical Center, Miami, Florida
JAMA Ophthalmol. 2019;137(9):e185915. doi:10.1001/jamaophthalmol.2018.5915

A patient in his early 50s presented for evaluation of an abnormal optic nerve in the right eye. On examination, a white fibrous tissue was visualized overlying the right optic nerve. This tissue was creating traction on nearby vessels as well as producing striae that extended from the nerve to the macula (Figure, A). Optical coherence tomography results further illustrated this traction on nearby structures, demonstrating an elevation of the optic disc with an adjacent schisis of the retinal layers (Figure, B). The remainder of the ocular examination results, including that of the fellow eye, were unremarkable. This remnant of glial tissue on the optic disc, termed a Bergmeister papilla, is the result of the incomplete resorption of the hyaloid artery during embryological development.1 The patient’s visual acuity remained 20/20 in each eye at follow-up. The patient also continued to be without visual symptoms, which is typical in cases of Bergmeister papillae.