BILATERAL OPTIC DISC ASTROCYTOMAS ASSOCIATED WITH DIABETES-MELLITUS

A 56-year-old woman was diagnosed with diabetes mellitus (DM) and was referred to the authors (K.G., K.D., and C.T.) for an ophthalmologic e xamination. Corrected visual acuities were 0.6 oculi unitas. Anterior segment, vitreous examinations, and intraocular pressures were normal. Fundus examination revealed bilateral optic nerve head astrocytomas i n addition to background diabetic retinopathy. Fluorescein angiograms of the optic discs showed preinjection autofluorescence and late phase hyperfluorescence. There was no leakage of dye into the surrounding i ntraetinal or subretinal space. The optic disc astrocytomas did not sh ow intralesional calcification in A- and B-scan ultrasonography. No tr eatment was recommended for the optic disc astrocytomas. The associati on of optic disc astrocytoma and DM in the patient was probably coinci dential. There were no other cased of DM or optic disc astrocytomas am ong the other living family members.