DR. AMIT KUMAR DEB

DR. SHREYAS T S

Abstract

We, hereby, report a rare and unique case of a true optic disc duplication in one eye of a patient with bilateral proliferative diabetic retinopathy. Many developmental defects can simulate optic disc- pseudodoubling. True disc duplication with 2 independent retinal vasculatures is rare. Associated optic nerve duplication is rarer still and seen in lower vertebrates. Our case was a 50-year-old diabetic who presented with decreased vision in both eyes for 6 months associated with floaters in both eyes for 1 month. His BCVA was 20/200 in RE and 20/60 in LE. RE had a subcapsular cataract. Both eye fundus examinations showed features of PDR with vitreous hemorrhage and incomplete PRP. RE showed two optic discs which were confirmed on FFA and OCT scans. Both the optic discs had neovessel on the disc (NVD), thereby, increasing the risk of vitreous hemorrhage as well as the progression of PDR. He was treated with BE completion PRP and intravitreal anti-VEGFs along with RE cataract surgery