Is that another optic nerve?
This is a pseudo-duplicated optic disc from peripheral neovascularization emanating from a disc-sized mid-peripheral chorioretinal scar.
The OCT reveals the area of choriovitreal neovascularization.
Learning Points:
The neovascularization regressed following panretinal photocoagulation (PRP) supplemented with intravitreal Eylea injections.
Fluorescein angiography following PRP and anti-VEGF injections shows virtually no leakage from the neovascularization.
