title: A classic temporal optic disc pit showing progression in the corresponding optic nerve fiber and visual field defects.
abstract: OBJECTIVE
  We report a rare case with a classic temporal optic disc pit (ODP) showing the progression of an associated nerve fiber layer defect (NFLD) with the corresponding visual field defect (VFD).
  
  
  METHODS
  We describe the patient's medical records and review the pertinent literature.
  
  
  RESULTS
  A 54-year-old woman had a temporal ODP, which was considered to be congenital, associated with both NFLD expanded to both the upper and lower sides of the horizontal line and corresponding VFD and a small ODP-like excavation at the 6.5 o'clock position on the disc edge with a narrow NFLD OD. During the 5-year follow-up period, both the NFLD and VFD associated with the temporal pit progressed without serous retinal detachment. The small ODP-like excavation located at the 6.5 o'clock position also showed progressive NFLD in the temporal lower quadrant with advanced VFD, which suggested that the excavation might be associated with glaucoma.
  
  
  CONCLUSIONS
  Based on the observation that the VFD occupied the two temporal quadrants with no step, an NFLD with corresponding VFD associated with a classic temporal ODP, although not considered to be related to glaucoma, can progress.
authors.affiliation: Department of Ophthalmology, School of Medicine, University of Occupational and Environmental Health, Japan, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan. tawara-a@med.uoeh-u.ac.jp
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tawara
authors.forename: Rie
authors.initials: R
authors.lastname: Miyamoto
authors.forename: Norihiko
authors.initials: N
authors.lastname: Tou
authors.forename: Shingo
authors.initials: S
authors.lastname: Ishibashi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kondo
mesh_terms: D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009898:Optic Disk / Q000002:abnormalities*; D009900:Optic Nerve / Q000473:pathology*; D009901:Optic Nerve Diseases / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D012607:Scotoma / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D041623:Tomography, Optical Coherence; D014794:Visual Fields