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DOI: 10.1055/a-2294-4853
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Peripapillary Hyperreflective Ovoid Mass-Like Structures as a Finding in Pseudopapilledema in Children

Peripapilläre hyperreflektive eiförmige Strukturen als Befund eines Pseudopapillenödems bei Kindern
Takuya Takayama
Ophthalmology, Jichi Medical University, Shimotsuke, Japan
,
Shinji Makino 
Ophthalmology, Jichi Medical University, Shimotsuke, Japan
,
Hironobu Tampo
Ophthalmology, Jichi Medical University, Shimotsuke, Japan
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Introduction

Peripapillary hyperreflective ovoid mass-like structures (PHOMS) can be observed using optical coherence tomography (OCT) of the optic nerve head [1], [2], [3], [4], [5]. The defining morphologic features of PHOMS include (1) a peripapillary location, abutting on the retina, (2) hyperreflectivity on OCT, (3) an ovoid shape on linear OCT scans through the center of the optic disc, and (4) a mass-like space-filling structural characteristic of displacing the adjacent retina from the disc [1], [2], [3], [4], [5]. A vascular complex within the PHOMS can be identified by OCT angiography [6]. PHOMS can be associated with papilledema or pseudopapilledema. Here, we present the case of an 11-year-old female with suspected papilledema.



Publication History

Received: 07 November 2023

Accepted: 20 March 2024

Article published online:
26 April 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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