[Congenital optic nerve pit associated with foveolar retinoschisis].
OBJECTIVE
The case of a 36 year old woman who complains of suffering a progressive decrease in visual acuity over a several year period is presented. Her corrected visual acuity was: 1.0 right eye and 0.7 in the left eye. The slit-lamp biomicroscopic examination showed an optic nerve pit in the left eye associated with a transparent schisislike separation of the inner macular retina with a stellate pattern, because of fine folds of the internal limiting membrane. The fluorescein angiography (F.A.) and visual field (V.F.) were normal.


CONCLUSIONS
Congenital optic pits are asymptomatic, unless a serous macular detachment complicates this entity. The characteristic image is an elevation of the neurosensorial retina, a transmission defect in the F.A. and a central scotoma. On the contrary, our patient had a foveolar schisis pattern with normal F.A. and V.F. This macula pattern is rarely associated with a congenital pit.
Morales Bertrand
J
J
Servicio de Oftalmología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
Teus Guezala
M A
MA
Pérez Salaices
P
P
Bermúdez Uría
L
L
Arranz Márquez
E
E
D000328:Adult; D003103:Coloboma / Q000150:complications* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000473:pathology; D005260:Female; D005451:Fluorescein Angiography; D005584:Fovea Centralis / Q000473:pathology; D006801:Humans; D015994:Incidence; D009898:Optic Disk / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011859:Radiography; D012163:Retinal Detachment / Q000150:complications* / Q000473:pathology; D014792:Visual Acuity