Japanese Journal of Ophthalmology

, Volume 57, Issue 3, pp 263–267 | Cite as

A classic temporal optic disc pit showing progression in the corresponding optic nerve fiber and visual field defects

  • Akihiko Tawara
  • Rie Miyamoto
  • Norihiko Tou
  • Shingo Ishibashi
  • Hiroyuki Kondo
Clinical Investigation

Abstract

Purpose

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.

Conclusion

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.

Keywords

Optic disc pit Nerve fiber layer defect Visual field defect Congenital anomaly Glaucoma 

Notes

Acknowledgments

This work was supported by a Grant-in-Aid (no. 20592067) for Scientific Research from the Ministry of Education, Science, Sports and Culture of the Japanese government.

References

  1. 1.
    Brown GC, Shields JA, Goldberg RE. Congenital pits of the optic nerve head. II. Clinical studies in humans. Ophthalmology. 1980;87:51–65.PubMedGoogle Scholar
  2. 2.
    Chiu YT, Chen HY, Tsai YY, Lin JM, Chiang CC. Stratus optical coherence tomography for evaluating optic disc pits associated with maculopathy before and after vitrectomy: two case reports. Kaohsiung J Med Sci. 2006;22:229–34.PubMedCrossRefGoogle Scholar
  3. 3.
    Meyer CH, Rodrigues EB, Schmidt JC. Congenital optic nerve head pit associated with reduced retinal nerve fibre thickness at the papillomacular bundle. Br J Ophthalmol. 2003;87:1300–1.PubMedCrossRefGoogle Scholar
  4. 4.
    Radius RL, Maumenee AE, Green WR. Pit-like changes of the optic nerve head in open-angle glaucoma. Br J Ophthalmol. 1978;62:389–93.PubMedCrossRefGoogle Scholar
  5. 5.
    Ugurlu S, Weitzman M, Nduaguba C, Caprioli J. Acquired pit of the optic nerve: a risk factor for progression of glaucoma. Am J Ophthalmol. 1998;125:457–64.PubMedCrossRefGoogle Scholar
  6. 6.
    Healey PR, Mitchell P. The prevalence of optic disc pits and their relationship to glaucoma. J Glaucoma. 2008;17:11–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Javitt JC, Spaeth GL, Katz LJ, Poryzees E, Addiego R. Acquired pits of the optic nerve. Increased prevalence in patients with low-tension glaucoma. Ophthalmology. 1990;97:1038–44.PubMedGoogle Scholar
  8. 8.
    Morgan OG. Acquired hole in the disk. Br J Ophthalmol. 1951;35:437–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Kranenburg EW. Crater-like holes in the optic disc and central serous retinopathy. Arch Ophthalmol. 1960;64:912–24.PubMedCrossRefGoogle Scholar
  10. 10.
    Cashwell LF, Ford JG. Central visual field changes associated with acquired pits of the optic nerve. Ophthalmology. 1995;102:1270–8.PubMedGoogle Scholar
  11. 11.
    Koh JW, Park KH, Kim MS, Kim JM. Localized retinal nerve fiber layer defects associated with cotton wool spots. Jpn J Ophthalmol. 2010;54:296–9.PubMedCrossRefGoogle Scholar
  12. 12.
    Rath EZ, Rumelt S. Acute visual loss due to serous retinal detachment from acquired optic pit may be a rare presentation of primary open-angle glaucoma. Can J Ophthalmol. 2007;42:339–40.PubMedCrossRefGoogle Scholar
  13. 13.
    Ohno-Matsui K, Shimada N, Yasuzumi K, Hayashi K, Yoshida T, Kojima A, et al. Long-term development of significant visual field defects in highly myopic eyes. Am J Ophthalmol. 2011;152:256–65.PubMedCrossRefGoogle Scholar

Copyright information

© Japanese Ophthalmological Society 2012

Authors and Affiliations

  • Akihiko Tawara
    • 1
  • Rie Miyamoto
    • 1
  • Norihiko Tou
    • 1
  • Shingo Ishibashi
    • 1
  • Hiroyuki Kondo
    • 1
  1. 1.Department of Ophthalmology, School of MedicineUniversity of Occupational and Environmental Health, JapanKitakyushuJapan

Personalised recommendations