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Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 631

Gape in the void: Atypical optic disc pit location with retinoschisis

Department of Glaucoma, Anand Eye Institute, Hyderabad, Telangana, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Tarannum Mansoori
Department of Glaucoma, Anand Eye Institute, Habsiguda, Hyderabad - 500 007, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2669_21

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How to cite this article:
Mansoori T. Gape in the void: Atypical optic disc pit location with retinoschisis. Indian J Ophthalmol Case Rep 2022;2:631

How to cite this URL:
Mansoori T. Gape in the void: Atypical optic disc pit location with retinoschisis. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2023 Jun 2];2:631. Available from: https://www.ijoreports.in/text.asp?2022/2/2/631/342973

A 62-year-old male with visual acuity of 20/30 in the right eye was noted to have a round, optic disc pit [ODP, [Figure 1]a] within the inferonasal neuroretinal rim, touching the optic disc margin. Optical coherence tomography (OCT, Optovue, Fremont, CA) showed ODP communication with the vitreous cavity [[Figure 1]b, yellow arrow]. Scanning laser ophthalmoscope [[Figure 1]c, blue arrow] and horizontal OCT scan [Figure 1]d showed inferonasal peripapillary retinoschisis in the corresponding sector.
Figure 1: (a-d) Inferonasal Optic disc pit (A, white arrow) and corresponding inferonasal sector retinoschisis in the right eye

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ODP is a congenital excavation in the optic nerve[1],[2] and is most commonly found at the temporal location of optic disc[3] and can cause retinoschisis.[4]

This case posed a clinical challenge due to its atypical location and subtle ODP. Imaging with OCT helped to diagnose retinoschisis, which was not visualized on the clinical examination.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Kranenburg EW. Crater-like holes in the optic disc and central serous retinopathy. Arch Ophthalmol 1960;64:912-24.  Back to cited text no. 1
Brodsky MC. Congenital optic disk anomalies. Surv Ophthalmol 1994;39:89-112.  Back to cited text no. 2
Brown GC, Shields JA, Goldberg RE. Congenital pits of the optic nerve head. II. Clinical studies in humans. Ophthalmology 1980;87:51-65.  Back to cited text no. 3
Lincoff H, Lopez R, Kreissig I, Yannuzzi L, Cox M, Burton T. Retinoschisis associated with optic nerve pits. Arch Ophthalmol 1988;106:61-7.  Back to cited text no. 4


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