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PURPOSE: To report a porencephalic cyst in a child with large optic disc cup but normal-sized discs. METHODS: Case report with figures. RESULTS: Clinical findings of a patient with porencephaly presenting with large cups in normal-sized optic discs are discussed. CONCLUSIONS: Optic disc morphology is not a reliable indicator of the timing of ischemic brain injury. Intracranial pathology should be suspected in children with disc cupping but no other features of glaucoma.
Eye and Ear Clinic, Royal Victoria Hospital, Belfast, UK.
Full article10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy