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Ophthalmic Images
January 10, 2019

Optic Disc Pit With Peripapillary Retinoschisis Misdiagnosed as Glaucoma

Author Affiliations
  • 1St Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool, England
  • 2Department of Ophthalmology, Countess of Chester Hospital, Chester, Cheshire, England
JAMA Ophthalmol. 2019;137(1):e183851. doi:10.1001/jamaophthalmol.2018.3851

A 63-year-old woman who had received a previous diagnosis of unilateral normal tension glaucoma presented for follow-up. Diagnosis had been made 2 years before, when she was considered to have a left inferotemporal neuroretinal rim notch with corresponding visual field loss. Visual acuity was 20/20 OU, and intraocular pressure was 14 mm Hg OU. Right optic disc was normal. Left optic disc examination showed an inferotemporal pit with associated retinal nerve fiber layer defect (Figure, A, arrowheads). Optical coherence tomography revealed a peripapillary schitic cavity communicating with the pit excavation (Figure, B).