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Bilateral aplasia of the optic nerve, chiasm, and tracts in an otherwise healthy infant
  1. M S Sanjari1,
  2. K Ghasemi Falavarjani1,
  3. M M Parvaresh1,
  4. H H Kharazi2,
  5. M B Kashkooli3
  1. 1Eye Research Center, Rasool Akram Medical Center, Iran University of Medical Science, Tehran, Iran
  2. 2Department of Radiology, Rasool Akram Medical Center, Iran University of Medical Science, Tehran, Iran
  3. 3Eye Research Center, Rasool Akram Medical Center, Iran University of Medical Science, Tehran, Iran
  1. Correspondence to: Mostafa Soltan Sanjari MD, Eye Research Center, Rasool Akram Hospital, Sattarkhan-Niayesh Street, Tehran 14455-364, Iran; msoltansanjari{at}yahoo.com

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Optic nerve aplasia is a rare developmental anomaly characterised by the congenital absence of the optic nerve, central retinal vessels and retinal ganglion cells that is seen most often in a unilaterally malformed eye.1,2 Unilateral optic nerve aplasia is generally associated with otherwise normal brain development while bilateral optic nerve aplasia is usually accompanied by severe and widespread congenital central nervous system (CNS) malformations.1,2 We report here a unique presentation of a unilateral microphthalmos associated with bilateral optic nerve, chiasm, and tract aplasia without any CNS or systemic abnormalities.

CASE REPORT

An 11 month old girl was referred to the neuro-ophthalmology clinic because of unequal size of the eyes. She was born to non-consanguineous parents at 39 weeks gestation with a birth weight of 2750 g. …

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