Indian Journal of Clinical and Experimental Ophthalmology 2023;9(2):265–268
Content available at: https://www.ipinnovative.com/open-access-journals
Indian Journal of Clinical and Experimental Ophthalmology
Journal homepage: www.ijceo.org
Case Report
Bergmeister papilla: A unilateral case report
Nitesh Pradhan
1
, Atanu Majumdar
2
, Gaurav Dubey
3,
*, Shamit Pal
1
, Amisha Sharma
4
,
Varsha Devi
4
1
Dept. of Ophthalmology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Ambala, Haryana, India
2
Tata Steel Hospital Noamundi, Noamundi, Jharkhand, India
3
Dept. of Optometry, Uttar Pradesh University of Medical Sciences, Etawah, Uttar Pradesh, India
4
Dept. of Allied Healthcare Sciences, Vivekananda Global University, Jaipur, Rajasthan, India
ARTICLE INFO
Article history:
Received 23-01-2023
Accepted 31-03-2023
Available online 30-06-2023
Keywords:
Optical coherence tomography
Bergmeister papilla
ABSTRACT
Purpose: To described enhanced imaging for visualization of anatomic features and microstructures of
Bergmeister papilla within the optic nerve in asymptomatic patient.
Primary measure is to see any change in the morphological characteristic in asymptomatic patient with
Bergmeister papillae.
Secondary outcome measures is to see any effect on parameters of OCT in asymptomatic patient with
Bergmeister papillae.
Materials and Methods: Carl Zeiss Cirrus HD 21 Line Raster OCT Model 5000 scanning protocol of the
optic nerve and the optic disc cube 200×200 program obtains ONH images through a 3.46-mm diameter
circle, and the algorithm automatically detects the circle and positions around the ONH and in the macular
region were obtained in the both Eye. Fundus photo performed with Zeiss Fundus visucam 500.
Clinical examination was carried out with Carl Zeiss Cirrus HD 21 Line Raster OCT Model 5000 scanning
protocol of the optic nerve and the optic disc cube 200×200 program obtains ONH images through a 3.46-
mm diameter circle was obtained in the both eye.
Result: Zeiss Cirrus HD 21 Line Raster OCT showed hyperreflectivity overlying traction on the right
optic nerve with normal Foveal Contour while in the left eye (OS) optic nerve and macula were normal.
Fundoscopic examination showed in the right eye(OD), a overlying traction was identified in the optic
nerve supero-nasal region, while in the left eye(OS), the fundus was normal.
Conclusion: Optical coherence tomography helps in identification of Bergmeister papilla with
peripapillary vitreous thickening is beneficial in monitoring vitreo-retinal alterations that may cause future
vision impairment.
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1. Introduction
Bergmeister papilla also known as a peripapillary veil,
develops from the center of the optic nerve and consist
of a tiny bunch of connective tissue and represent a
fibrous sheath encircling around the foetal hyaloid artery
* Corresponding author.
E-mail address: gauravopto25@gmail.com (G. Dubey).
during the period of embryonic development. The foetal
hyaloid, which flows forward from the optic nerve to the
lens, delivers nourishment to lens. The central supporting
tissue surrounds the optic nerve and forms a fibrous sheath
where the hyaloid artery leaves the optic nerve. The
hyaloid artery regresses during birth, and by the time the
eyelids open, it is usually entirely regressed. Bergmeister
papilla is a fibre sheath that is remaining of the hyaloid
https://doi.org/10.18231/j.ijceo.2023.050
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