Congenital Tilted Disc Syndrome Combined with Peripapillary Hyper-Reflective Ovoid Mass-Like Structures in One Eye: A Case Report and Literature Review

目的：回顾性分析一例单眼倾斜视盘合并视盘旁高反射卵圆形团块样结构患者的临床表现、诊断、辅助检查结果及预后，并进行文献复习。方法：收集一例青岛大学附属医院确诊的倾斜视盘合并PHOMS患者的临床资料并进行文献复习。结果：患者李X，男，12岁，主诉右眼视力下降7月，眼底检查示：右眼底视盘倾斜，边界不清，鼻侧稍隆起，颞侧色淡，视杯较深。眼底血管走行尚可，视网膜平伏，黄斑中心凹反光未见。结论：倾斜视盘及PHOMS病因多样，在进行诊断前应与其他原因所致视盘水肿充分鉴别。Objective: To retrospectively analyze the clinical manifestations, diagnosis, auxiliary examination results and prognosis of a patient with congenital tilted optic disc and peripapillary hyper-reflective ovoid mass-like structure (PHOMS), and to review the relevant literature. Methods: The clinical data of a patient diagnosed with tilted optic disc and PHOMS in the Affiliated Hospital Qingdao University were collected and the literature was reviewed. Results: The patient is Li X, a 12-year-old male who complained of decreased vision in the right eye for 7 months. Fundus examination showed that the right optic disc was tilted, with an unclear boundary, and it slightly elevated on the nasal side, pale on the temporal side with a deep cup. The vessels were still in good condition. The retina was flat and the foveal reflex was not seen. Conclusion: The causes of PHOMS are diverse. It is necessary to fully differentiate it from optic disc edema caused by other reasons before diagnosis.