Optic Disc Pit with Peripapillary Retinoschisis Presenting as a Localized Retinal Nerve Fiber Layer Defect.
10.3341/kjo.2011.25.6.455
- Author:
In Seok SONG
1
;
Joong Won SHIN
;
Yong Woon SHIN
;
Ki Bang UHM
Author Information
1. Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. KBUhm@hanyang.ac.kr
- Publication Type:Case Reports
- Keywords:
Glaucoma;
Optic disc;
Retinoschisis
- MeSH:
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
- From:Korean Journal of Ophthalmology
2011;25(6):455-458
- CountryRepublic of Korea
- Language:English
-
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.
