Tilted Disc Feb 9, 2023 · Myopic tilted disc is one of the most common morphological changes found in myopic eyes. It appears as oval-shaped and obliquely rotated ONH, often separately described... Myopic tilted disc: Mechanism, clinical significance, and public health implication Feb 17, 2016 · Tilted discs are one of the six congenital optic disc anomalies that ophthalmologists should be familiar with. They are caused by abnormal development of the optic nerve... Congenital Optic Disc Anomalies — Ophthalmology Review Congenital Tilted Disc Syndrome — Ophthalmology Review Pathologic Myopia (Myopic Degeneration) - EyeWiki Jan 24, 2017 · While it is generally considered to be a benign and congenital—albeit uncorrectable—condition, a recent study in the journal Optometry & Vision Science took a closer... How tilted optic discs may affect myopic eyes - AOA May 1, 2022 · Tilted disc syndrome (TDS) is a congenital anomaly of the optic disc orientation and the posterior pole, associated with macular changes and vision loss. This review... Tilted disc syndrome (TDS): New hypotheses for posterior ... May 21, 2021 · Tilted disc syndrome (TDS) is a constellation of fundus findings clinically seen as inferonasal tilting of the disc, inferior peripapillary crescent, nasalization of... Macular associations of tilted disc syndrome - PMC Jan 20, 2022 · Tilted disc syndrome (TDS) is a congenital disc anomaly that can cause vision-threatening chorioretinal changes. This article reviews the current hypotheses for the... Tilted Disc Syndrome - PracticeUpdate Feb 9, 2023 · The current review aimed to clarify the concepts and discuss various aspects of myopic tilted disc, including the definitions, association with other myopia-related... Myopic tilted disc: Mechanism, clinical significance, and ... Oct 5, 2023 · Tilted disc syndrome (TDS) is characterized by a collection of findings, including oblique orientation of the optic disc axis, inferonasal tilting of the optic disc with... Deep Optic Nerve Head Morphology in Tilted Disc Syndrome and ... syndrome visual field defects optic nerve icd 10 oct check valves in galactic center syndrome treatment glaucoma syndrome visual field Tilted disc syndrome (TDS) is considered a congenital anomaly due to a delayed closure of the embryonic fissure. It is characterized by an oblique orientation of the axis of the optic disc, associated with other posterior pole anomalies such as inferior crescent, situs inversus and inferior staphyloma. Tilted disc syndrome (TDS): New hypotheses for posterior ... www.sciencedirect.com/science/article/pii/S1350946221000811 https://www.ncbi.nlm.nih.gov › pmc › articles Myopic tilted disc: Mechanism, clinical significance, and public... Feb 9, 2023 · Myopic tilted disc is one of the most common morphological changes found in myopic eyes. It appears as oval-shaped and obliquely rotated ONH, often separately described... Author: Poemen P. Chan, Yuqiao Zhang, Chi Pui PangDOI: 10.3389/fmed.2023.1094937Publication: Front Med (Lausanne). 2023; 10: 1094937.Published: 2023People also ask What causes a tilted disc? The tilted appearance is characterized by temporal flattening of the disc due in part to peri-papillary scleral expansion. As a result, a hypo-pigmented myopic crescent or myopic cone is seen where sclera is directly visible. In intermediate disease, choroidal vessels will be seen more prominently beneath the atrophic RPE. Pathologic Myopia (Myopic Degeneration) - … eyewiki.org/Pathologic_myopia_(myopic_degeneration) See all results for this question What is tilted disc syndrome? Dr. Brujic describes tilted disc syndrome as a variant-something that is recorded by an eye care professional, but is not considered a pathology. It occurs when the nerve enters the eye at an oblique angle rather than a perpendicular one. How tilted optic discs may affect myopic ey… www.aoa.org/news/clinical-eye-care/diseases-and-conditions/how-tilted-optic-discs-may-affect-myopic-eyes See all results for this question How is disc tilt identified? Disc tilt: the presence of ONH tilt was identified by a white half-moon or C-shaped halo on the color fundus photograph being present together with a corresponding cross-sectional EDI-OCT revealing a corresponding extension of the border tissue of Elschnig. Myopic tilted disc: Mechanism, clinical signif… www.ncbi.nlm.nih.gov/pmc/articles/PMC9947511/ See all results for this question https://www.ophthalmologyreview.org › articles › congenital-optic-disc Congenital Optic Disc Anomalies — Ophthalmology Review Feb 17, 2016 · Tilted discs are one of the six congenital optic disc anomalies that ophthalmologists should be familiar with. They are caused by abnormal development of the optic nerve... Refine this search valmatic tilted disc check valve tilted disc syndrome tilted disc check valves tilted disc visual field defects icd 10 tilted disc syndrome tilted disc optic nerve https://www.ophthalmologyreview.org › articles › congenital-tilted Congenital Tilted Disc Syndrome — Ophthalmology Review Apr 14, 2021 · A rare condition that causes visual field defects similar to bitemporal hemianopia. Learn about the diagnosis, differential diagnosis, and management of this syndrome... https://eyewiki.org › Pathologic_myopia_(myopic_degeneration) Pathologic Myopia (Myopic Degeneration) - EyeWiki Fluourescein Angiography Indocyanine Green Angiography Optical Coherence Tomography Laser Photocoagulation Photodynamic Therapy Anti-Vascular Endothelial Growth Factor Injections GeneratedCaptionsTabForHeroSec Fluorescein Angiographyis useful for evaluating myopic patients for development of CNV. Early images may show transmission defects in patches or areas of RPE atrophy in the macula and/or around the optic disc. Angiography can identify lacquer cracks in early and transit phases by linear distribution of transmission defect. In pathologic myopia, the development of CNV tends to be smaller and less exudative compared to CNV seen in AMD. Myopic CNV may appear as a focus of hyperfluourescence with a rim of hypoflourescence corresponding to hyperpigmentation at the border of the lesion. Any associated hemorrhage will result in blocked fluorescence. Leakage is seen in late images with or without blurring of the pigmented rim. The leakage present with myopic CNV is more subtle than with CNV related to AMD, and it is common that the CNV leakage may be partially or completely obscured by overlying subretinal hemorrhage. See full list on eyewiki.org Indocyanine green angiography (ICG) may be more sensitive for detecting CNV as the vascular leakage in pathologic myopia is typically less prominentthan for AMD-related pathology and can be more easily missed on fluorescein angiography. Despitesubtler findings on imaging studies with myopic CNV compared to those with AMD-related CNV, patients often note that these smaller lesions alter the visual perception significantly. See full list on eyewiki.org Spectral domain OCT (SD-OCT) has been the preferred methodof following myopic CNV over time. Although FA or ICG is more sensitive for detection, SD-OCT is a non-invasive,quantifiable and widely available method for monitoring CNV. The CNV will be visible as a subretinalhyper-reflective lesion with or without intraretinal fluid, subretinal fluid orpigment epithelial detachment. Thephysical topography of staphyloma and thinned retinal layers pose challenges tointerpreting OCT in the myopic patient. However, the resolution is appropriatefor most patients. Spectral Domain OCT also allows for detection of myopic foveoschisis or macular hole formation. For this reason, evaluating patients with SD-OCT permits betterdemonstration of the macular anatomy compared to a bimoscosopic examination. OCT angiography (OCT-A) has more recently emerged as a non-invasive technique for detecting and confirming the presence of myopic CNV. One study identified higher vessel length density in the CNV on OCT... See full list on eyewiki.org The first widely adopted therapy for CNV in pathologic myopia wasphotothermal laser ablation of the new vessels. This treatment was complicated by a high rate of recurrence and thetendency of the photocoagulation scars to expand over time, increasing the risk of central vision loss as the border of the laser scar encroached or expanded into the fovea. See full list on eyewiki.org Photodynamic therapy (PDT) replaced thermal laser in the later 1990s,supported by evidence from the Verteporfin in Photodynamic Therapy (VIP)study. The advantage of PDT was thepotential to selectively target neovascular vessels with lesser collateraldamage to the retina, RPE and choroid and to limit the development of largescars seen in photothermal laser treatment. The VIP study showed that PDT was better than placebo in reducingmoderate vision loss at 12 months. However by 24 months, there was nostatistically significant difference between treatment arms.PDT has been limited by theobservation that up to 13% still have moderate vision loss despite treatmentand up to 57% have persistent leakage at one year. See full list on eyewiki.org Anti-vascular endothelial growth factor (VEGF) therapy is now considered the first line intervention for eyes with myopic CNV. The initial evidence was based primarily on retrospective studies and clinician experience. A growing number of prospective and randomized trials have been published or are currently underway. One such trial was RADIANCE (A Randomized Controlled Study of Ranibizumab in Patients with Choroidal Neovascularization Secondary to Pathologic Myopia), a multi-center, randomized controlled trial comparing intravitreal ranibizumab to PDT in the treatment of myopic CNV. This study reported improved visual acuity at 12 months in the ranibizumab treatment arm. The REPAIR study (Prospective, Multi-center Trial of ranibizumab in Choroidal Neovascularization due to Pathological Myopia) also demonstrated the efficacy and safety of ranibizumab in myopic CNV. Meanwhile, the MYRROR study (Intravitreal Aflibercept Injection in Patients with Myopic Choroidal Neovascularization) f... See full list on eyewiki.org Pathologic myopia is a subgroup of high myopia that causes vision loss due to macular damage. It is characterized by tilted disc, RPE thinning, choroidal atrophy and neovascularization. Learn about the risk factors, diagnosis and management of this condition. See full list on eyewiki.org https://www.aoa.org › how-tilted-optic-discs-may-affect-myopic-eyes How tilted optic discs may affect myopic eyes - AOA Jan 24, 2017 · While it is generally considered to be a benign and congenital—albeit uncorrectable—condition, a recent study in the journal Optometry & Vision Science took a closer... https://www.sciencedirect.com › science › article Tilted disc syndrome (TDS): New hypotheses for posterior ... May 1, 2022 · Tilted disc syndrome (TDS) is a congenital anomaly of the optic disc orientation and the posterior pole, associated with macular changes and vision loss. This review... https://www.ncbi.nlm.nih.gov › pmc › articles Macular associations of tilted disc syndrome - PMC May 21, 2021 · Tilted disc syndrome (TDS) is a constellation of fundus findings clinically seen as inferonasal tilting of the disc, inferior peripapillary crescent, nasalization of... https://www.practiceupdate.com › content › tilted-disc-syndrome Tilted Disc Syndrome - PracticeUpdate Jan 20, 2022 · Tilted disc syndrome (TDS) is a congenital disc anomaly that can cause vision-threatening chorioretinal changes. This article reviews the current hypotheses for the... https://pubmed.ncbi.nlm.nih.gov › 36844216 Myopic tilted disc: Mechanism, clinical significance, and ... Feb 9, 2023 · The current review aimed to clarify the concepts and discuss various aspects of myopic tilted disc, including the definitions, association with other myopia-related... https://www.ncbi.nlm.nih.gov › pmc › articles Deep Optic Nerve Head Morphology in Tilted Disc Syndrome and ... Oct 5, 2023 · Tilted disc syndrome (TDS) is characterized by a collection of findings, including oblique orientation of the optic disc axis, inferonasal tilting of the optic disc with... 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