A Veil Over the Disc

Bergmiester papilla [Figure 1], also known as epipapillary veil, was first described by Dr Otto Bergmeister in 1877. It is a remnant of the fibrous sheath surrounding the hyaloid artery.[1] Normally, the hyaloid artery regresses at around 30 weeks and an incomplete regression is associated with defects in the genes responsible for bringing about apoptosis of the vessel.[2] Occasionally a vessel may be visualized within the papilla and is called a prepapillary vascular loop. Patients are usually asymptomatic. Visual prognosis is excellent but complications like vitreous hemorrhage, retinal vein or retinal artery occlusion is possible in cases with prepapillary vascular loop.Figure 1: Top row shows fundus photograph of the patient with Bergmiester papilla , Bottom row shows OCT through the disc showing the Bergmiester papilla as a hyperreflective veil like structure above the discFinancial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.