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December 1960

Crater-Like Holes in the Optic Disc and Central Serous Retinopathy

Author Affiliations

Amsterdam, Netherlands
From the Amsterdam University Eye Clinic, Netherlands (Director: Prof. Dr. A. Hagedoorn).

Arch Ophthalmol. 1960;64(6):912-924. doi:10.1001/archopht.1960.01840010914013

Pits, or crater-like holes in the optic disc, are now and then met as a peculiar finding in ophthalmoscopy. Reis (1908) estimated the frequency of this abnormal picture to be as low as 1 case to every 11,000 patients visiting the ophthalmologist. Since 1882, when Wiethe published the first case, at varying intervals reports of similar cases have appeared. From the literature, covering the 75 years after Wiethe's publication, we were able to gather the descriptions of 123 cases of crater-like holes in the optic disc. To these we added 24 cases of our own. As our title indicates, it is the purpose of this presentation to emphasize the frequent occurrence of characteristic paracentral and central visual field defects and disturbances in the macular area in these patients.

Data from the Literature  Practically all authors agree about the characteristic picture of these holes, which in French are called fossettes colobomateuses