Optic Disk Pit with Sudden Central Visual Field Scotoma

Purpose. To describe a case of optic disk pit (ODP) with sudden central visual field scotoma. Methods. A 49-year-old woman presented, reporting sudden painless central visual field loss 3 months prior to presentation. Neuroophthalmologic, systematic, and laboratory evaluation and full imaging proces...

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Main Authors: Nikol Panou, Demetrios G. Vavvas
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2016/1423481
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author Nikol Panou
Demetrios G. Vavvas
author_facet Nikol Panou
Demetrios G. Vavvas
author_sort Nikol Panou
collection DOAJ
description Purpose. To describe a case of optic disk pit (ODP) with sudden central visual field scotoma. Methods. A 49-year-old woman presented, reporting sudden painless central visual field loss 3 months prior to presentation. Neuroophthalmologic, systematic, and laboratory evaluation and full imaging processes were performed. Results. Fundoscopy and color photography demonstrated an optic disk pit inferotemporally. Perimetry identified central visual field horizontal scotoma. OCT revealed absence of serous retinal detachment, but disclosed inner retina thinning corresponding to the area of the visual field loss. Fluorescein angiography demonstrated delay in the cilioretinal arteries and also disclosed a relative delay in the perfusion of an arterial branch off the inferior retinal arcade. Clinical and laboratory evaluations were negative for any related pathology. Conclusion. Sudden central visual field scotoma in patients with ODP may be associated with delayed vascular filling of CRA and retinal arterioles within the optic disc anomaly region.
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spelling doaj-art-3d3edb9672f34e0b9c597748695d429d2025-02-03T01:00:03ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/14234811423481Optic Disk Pit with Sudden Central Visual Field ScotomaNikol Panou0Demetrios G. Vavvas1Ophthalmic Clinic, General Oncologic Hospital “Agioi Anargyroi”, Kaliftaki, N. Kifissia, 14564 Attiki, GreeceMonte J. Wallace Ophthalmology Chair in Retina, Boston, MA, USAPurpose. To describe a case of optic disk pit (ODP) with sudden central visual field scotoma. Methods. A 49-year-old woman presented, reporting sudden painless central visual field loss 3 months prior to presentation. Neuroophthalmologic, systematic, and laboratory evaluation and full imaging processes were performed. Results. Fundoscopy and color photography demonstrated an optic disk pit inferotemporally. Perimetry identified central visual field horizontal scotoma. OCT revealed absence of serous retinal detachment, but disclosed inner retina thinning corresponding to the area of the visual field loss. Fluorescein angiography demonstrated delay in the cilioretinal arteries and also disclosed a relative delay in the perfusion of an arterial branch off the inferior retinal arcade. Clinical and laboratory evaluations were negative for any related pathology. Conclusion. Sudden central visual field scotoma in patients with ODP may be associated with delayed vascular filling of CRA and retinal arterioles within the optic disc anomaly region.http://dx.doi.org/10.1155/2016/1423481
spellingShingle Nikol Panou
Demetrios G. Vavvas
Optic Disk Pit with Sudden Central Visual Field Scotoma
Case Reports in Ophthalmological Medicine
title Optic Disk Pit with Sudden Central Visual Field Scotoma
title_full Optic Disk Pit with Sudden Central Visual Field Scotoma
title_fullStr Optic Disk Pit with Sudden Central Visual Field Scotoma
title_full_unstemmed Optic Disk Pit with Sudden Central Visual Field Scotoma
title_short Optic Disk Pit with Sudden Central Visual Field Scotoma
title_sort optic disk pit with sudden central visual field scotoma
url http://dx.doi.org/10.1155/2016/1423481
work_keys_str_mv AT nikolpanou opticdiskpitwithsuddencentralvisualfieldscotoma
AT demetriosgvavvas opticdiskpitwithsuddencentralvisualfieldscotoma