title: Optic disc pit with peripapillary retinoschisis presenting as a localized retinal nerve fiber layer defect.
abstract: A 59-year-old woman was referred to our clinic for a glaucoma evaluation. The visual acuity and intraocular pressure were normal in both eyes. However, red-free fundus photography in the left eye showed a superotemporal wedge-shaped retinal nerve fiber layer defect, and visual field testing showed a corresponding partial arcuate scotoma. In an optical coherence tomography examination, the macula was flat, but an arcuate-shaped peripapillary retinoschisis was found. Further, the retinoschisis seemed to be connected with a superotemporal optic pit shown in a disc photograph. After 3 months of a topical prostaglandin analogue medication, the intraocular pressure in the retinoschisis eye was lowered from 14 to 10 mmHg and the peripapillary retinoschisis was almost resolved. We report a rare case of an optic disc pit with peripapillary retinoschisis presenting as a localized retinal nerve fiber layer defect.
authors: Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea.
authors: In Seok
authors: IS
authors: Song
authors: Joong Won
authors: JW
authors: Shin
authors: Yong Woon
authors: YW
authors: Shin
authors: Ki Bang
authors: KB
authors: Uhm
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D009412:Nerve Fibers / Q000473:pathology*; D009898:Optic Disk / Q000002:abnormalities* / Q000473:pathology*; D009901:Optic Nerve Diseases / Q000175:diagnosis*; D012165:Retinal Ganglion Cells / Q000473:pathology*; D041441:Retinoschisis / Q000175:diagnosis* / Q000188:drug therapy; D041623:Tomography, Optical Coherence