Korean J Ophthalmol.  2011 Dec;25(6):455-458. 10.3341/kjo.2011.25.6.455.

Optic Disc Pit with Peripapillary Retinoschisis Presenting as a Localized Retinal Nerve Fiber Layer Defect

• Song IS
• Shin JW
• Shin YW
• Uhm KB

• KMID: 1031196
• DOI: http://doi.org/10.3341/kjo.2011.25.6.455

Abstract

A 59-year-old woman was referred to our clinic for a glaucoma evaluation. The visual acuity and intraocular pressure were normal in both eyes. However, red-free fundus photography in the left eye showed a superotemporal wedge-shaped retinal nerve fiber layer defect, and visual field testing showed a corresponding partial arcuate scotoma. In an optical coherence tomography examination, the macula was flat, but an arcuate-shaped peripapillary retinoschisis was found. Further, the retinoschisis seemed to be connected with a superotemporal optic pit shown in a disc photograph. After 3 months of a topical prostaglandin analogue medication, the intraocular pressure in the retinoschisis eye was lowered from 14 to 10 mmHg and the peripapillary retinoschisis was almost resolved. We report a rare case of an optic disc pit with peripapillary retinoschisis presenting as a localized retinal nerve fiber layer defect.

Keyword

Glaucoma; Optic disc; Retinoschisis

MeSH Terms

Female
Humans
Middle Aged
Nerve Fibers/*pathology
Optic Disk/*abnormalities/*pathology
Optic Nerve Diseases/*diagnosis
Retinal Ganglion Cells/*pathology
Retinoschisis/*diagnosis/drug therapy
Tomography, Optical Coherence

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