DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.032

Pages: 144-147

We describe two cases with peripapillary hyperreflective ovoid mass-like structures (PHOMS) as a finding of pseudopapilledema in　myopic children with tilted disc syndrome. Case 1: An 11-year-old boy presenting with suspected papilledema in left eye. The patient had moderate myopia in both eyes. Ophthalmoscopic examination revealed optic disc edema and tilted disc in left eye. Peripapillary optical coherence tomography (OCT) demonstrated PHOMS in left eye that was located in the nasal sector. Case 2: A 15-year-old boy presenting with suspected papilledema in left eye. The patient had mild myopia in both eyes. Ophthalmoscopic examination revealed optic disc edema and tilted disc in left eye. Peripapillary OCT demonstrated PHOMS in left eye that was located in the nasal sector. Clinicians should be aware of PHOMS when a patient presents with myopic eyes and tilted disc syndrome, as in these cases.