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Ophthalmic Images
August 9, 2018

Visualization of Capillary Dropout Emanating From an Optic Disc Pit Using Optical Coherence Tomography Angiography

Author Affiliations
  • 1Bascom Palmer Eye Institute, University of Miami, Miami, Florida
JAMA Ophthalmol. 2018;136(8):e182327. doi:10.1001/jamaophthalmol.2018.2327

A 9-year-old, healthy, asymptomatic child presented to our pediatric ophthalmology clinic for evaluation of optic disc anomalies. The patient was noted to have an optic disc pit in the left eye since the patient’s initial examination at 4 years of age by another pediatric ophthalmologist. Best-corrected visual acuity was 20/30 OS. Optical coherence tomography angiography (AngioVue; OptoVue) was performed and demonstrated full vascularization of the right optic nerve head (Figure, A) and a radial spoke of capillary dropout emanating from the optic disc pit of the left eye (Figure, B). Because there were no signs of active maculopathy or detachment, the patient was observed and will be followed up on an annual basis.