Lazy V sign unreliable indication of papilledema in children

SAN DIEGO — Masked reviewers could not reliably identify any grade of papilledema in pediatric eyes using the “lazy V” sign, according to a poster presentation.
“The lazy V sign is a subretinal hyporeflective space that’s seen on OCT that is present between the neurosensory retina and retinal pigment epithelium. The sign has been described in adults who have optic nerve etiologies and has been suggested for use in differentiating between cases of true optic nerve edema and pseudoedema,” Hilliary E. Inger, MD, said at the American Association for Pediatric

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