A child with unilateral disk elevation

Danny A. Mammo, Polly A. Quiram, Michael S. Lee, R. Michael Siatkowski

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


A healthy 7-year-old girl underwent a routine eye examination and was referred for unilateral, left optic nerve swelling. Best-corrected visual acuity in the affected eye was 20/20 with full Ishihara color plates and no relative afferent pupillary defect. Initial extensive workup was normal for any cause of unilateral disk swelling. When the patient returned a few years later with decreased vision, a thickened, gray-white preretinal tissue with surrounding retinal contraction and a surrounding charcoal gray lesion had developed in her optic nerve. Spectral-domain optical coherence tomography over the optic nerve demonstrated distortion of the inner retinal architecture, a dense epiretinal membrane, and high internal reflectivity. Clinical examination and imaging revealed a diagnosis of combined hamartoma of the retina and retinal pigment epithelium.

Original languageEnglish (US)
Pages (from-to)402-406
Number of pages5
JournalSurvey of Ophthalmology
Issue number2
StatePublished - Mar 1 2021

Bibliographical note

Publisher Copyright:
© 2019 Elsevier Inc.


  • combined hamartoma of the retina and retinal pigment epithelium
  • ocular oncology
  • optical coherence tomography
  • pseudopapilledema

PubMed: MeSH publication types

  • Case Reports
  • Journal Article


Dive into the research topics of 'A child with unilateral disk elevation'. Together they form a unique fingerprint.

Cite this