Page 88 - The Indian Digital Edition September-October 2020

DOMINANT

OPTIC ATROPHY

Dominant optic atrophy (DOA), also known as optic
atrophy type 1 or Kjer type optic atrophy, is a rare
but potentially devastating optic neuropathy. It is
characterised by bilateral degeneration of the retinal
Leonid Skorin
Jr., O.D., D.O., M.S. ganglion cells. Progressive atrophy of ganglion cell
axons leads to bilateral optic disc pallor and visual loss
Mayo Clinic Health System
(1)
Consultant, Department of Surgery of varying severity . The prudent clinician will include
Community Division of Ophthalmology
Albert Lea, Minnesota DOA as a differential whenever bilateral, symmetric
optic nerve pallor is present.

EPIDEMIOLOGY & ETIOLOGY

DOA is relatively uncommon, with literature reporting incidence
ranging from 1:30,000 to 1:50,000 in the general population and 1:10,000

FIGURE 1A. RIGHT EYE TEMPORAL FIGURE1B. LEFT EYE TEMPORAL
DISC PALLOR DISC PALLOR

Laura Bowitz
OD
Recently graduated from Pacific
University College of Optometry in
Forest Grove, Oregon

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