A healthy preteen girl presented to a pediatric glaucoma specialist for evaluation of suspicious optic nerves. Her uncorrected visual acuity was 20/20 OU and her intraocular pressure was 15 mm Hg OD and 16 mm Hg OS. The remainder of her ocular examination findings were unremarkable apart from a temporal optic pit of the left eye. Baseline fundus photography and echography were obtained (Figure). Automated perimetry revealed no visual field defects. The child was observed and followed up in the pediatric glaucoma and pediatric retina clinics. One year after the initial diagnosis, her uncorrected visual acuity remains stable at 20/20 OU and repeated photography and echography reveal no change in the optic pit.
Cavuoto KM, Chang TC. Echographic Assessment of Optic Nerve Pit. JAMA Ophthalmol. 2017;135(6):e170673. doi:10.1001/jamaophthalmol.2017.0673
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