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April 1996

Hemorrhage in Macular Retinoschisis Cavity Associated With Optic Nerve Pit

Arch Ophthalmol. 1996;114(4):493. doi:10.1001/archopht.1996.01100130489029

The pit of the optic nerve is a rare congenital abnormality that is accompanied by macular detachment at a rate of 30% to 45%. The structure of the retinal detachment associated with optic pits continues to be perplexing. We describe a patient with an optic disc pit associated with schisis of the macula, in the cavity of which a hemorrhage was observed. To our knowledge, this is the first reported case associated with hemorrhage.

Report of a Case.  A 20-year-old white man presented with an 8-month history of reduced vision in the right eye. His visual acuity was 20/200 OD and 20/25 OS. Slit-lamp biomicroscopic examination of his right eye showed an optic pit associated with a transparent schisislike separation of the inner retina. The separation was confined between supratemporal and inferotemporal arcades. In the upper part of the separation, a retinal hemorrhage, approximately 250 to 300 μm in horizontal