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Growing evidence has demonstrated that peripapillary hyperreflective ovoid mass-like structures (PHOMS) are novel structures rather than a subtype of optic disc drusen. They correspond to the laterally bulging herniation of optic nerve fibers and are believed to be the marker of axoplasmic stasis. PHOMS present in a broad spectrum of diseases, including optic disc drusen, tilted disc syndrome, papilloedema, multiple sclerosis, non-arteritic anterior ischemic optic neuropathy, optic neuritis, Leber hereditary optic neuropathy, and so on. We focus on the multimodal imaging features, pathophysiological mechanisms of PHOMS, and their association with multiple diseases and healthy people in this review to deepen the ophthalmologists' understanding of PHOMS. Additionally, we provide some new directions for future research.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11006981 | PMC |
http://dx.doi.org/10.3389/fneur.2024.1379801 | DOI Listing |
Transl Vis Sci Technol
August 2025
Department of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan, China.
Purpose: To present the swept-source optical coherence tomography angiography (SS-OCTA) characteristics of peripapillary hyperreflective ovoid mass-like structures (PHOMS) in healthy adolescents and evaluate the effects of PHOMS on peripapillary structural and microvascular parameters.
Methods: A total of 218 eyes of 117 healthy adolescents were included. SS-OCTA images centered on the optic nerve head (ONH) were captured on eyes included.
Am J Ophthalmol
August 2025
Beijing Tongren Eye Center, Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment, Beijing Ophthalmology&Visual Sciences Key Lab, Medical Artificial Intelligence Research and Verification Key Laboratory of the Ministry of Industry and Information Technology, Beijing Tongren Hospital, C
Purpose: To investigate the structural and vascular alternations of optic disc melanocytoma (ODM) using optical coherence tomography (OCT) and OCT angiography (OCTA) DESIGN: Retrospective case-series study.
Subjects: This study included 34 eyes diagnosed with ODM and 15 eyes with juxtapapillary choroidal melanoma (CM) who referred to Beijing Tongren Hospital from July 2019 to March 2025.
Methods: All subjects underwent OCT and OCTA cover the macula and optic nerve head (ONH) region.
Zhonghua Yan Ke Za Zhi
August 2025
Department of Ophthalmology, Jalaid Banner Mongolian Medicine General Hospital, Ulanhot 137600, China.
A 9-year-old male patient with binocular vision loss for 3 months visited the Department of Ophthalmology of the Jalaid Banner Mongolian Medical General Hospital. The optic disc in both eyes was ruddy and moderately edematous with a blurred margin, and the disc periphery was markedly edematous and elevated. Ocular B-scan ultrasonography and optical coherence tomography (OCT) examinations showed varying degrees of optic disc elevation.
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July 2025
Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, MA. Electronic address:
Purpose: To appraise the association of peripapillary hyperreflective ovoid mass-like structures (PHOMS) with the need for intracranial pressure (ICP) decompression surgery, and to study the impact of decompression surgery on the persistence of PHOMS.
Design: Retrospective longitudinal cohort study.
Subjects: Patients with syndromic craniosynostosis evaluated at Boston Children's Hospital (2010 - 2023) who had a minimum of two consecutive optic nerve volume scans.
Invest Ophthalmol Vis Sci
June 2025
Beijing Visual Science and Translational Eye Research Institute (BERI), Beijing Tsinghua Changgung Hospital, Tsinghua Medicine, Tsinghua University, Beijing, China.
Purpose: To assess prevalence and associations of peripapillary hyperreflective ovoid mass-like structures (PHOMS) on optical coherence tomographic images in a general adult population.
Methods: Participants in the population-based Beijing Eye Study underwent ocular and systemic examinations. Using optical coherence tomographic optic nerve head images, we assessed presence and location of PHOMS.