Pigmentation of optic discs
A 41-year-old female presented with perception of light in right eye and counting fingers vision in left eye since 6 months. She was a known case of autoimmune hepatitis and bilateral optic neuritis. Fundus examination revealed bilateral disc pallor with peripheral pigmentation of optic discs [Fig. 1a and b]. Optic disc pigmentation can occur in ocular abnormalities like optic disc hypoplasia, distended retinal vessels, iris transillumination defects, ptosis, nystagmus, and siderosis bulbi. Optic disc pigmentation after an episode of optic neuritis is rare. Optic disc pigmentation is a rare entity and ophthalmologists should rule out ocular and systemic associations.
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