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Case Reports in Ophthalmological Medicine
Volume 2016 (2016), Article ID 1423481, 4 pages
http://dx.doi.org/10.1155/2016/1423481
Case Report

Optic Disk Pit with Sudden Central Visual Field Scotoma

1Ophthalmic Clinic, General Oncologic Hospital “Agioi Anargyroi”, Kaliftaki, N. Kifissia, 14564 Attiki, Greece
2Monte J. Wallace Ophthalmology Chair in Retina, Boston, MA, USA
3Harvard Medical School, Boston, MA, USA
4Ocular Regenerative Medical Institute, Massachusetts Eye and Ear Infirmary and Massachusetts General Hospital, 243 Charles St., Boston, MA 02114, USA
5Angiogenesis Laboratory, Massachusetts Eye and Ear Infirmary and Massachusetts General Hospital, 243 Charles St., Boston, MA 02114, USA

Received 18 July 2016; Revised 1 September 2016; Accepted 8 September 2016

Academic Editor: Hsin-Yi Chen

Copyright © 2016 Nikol Panou and Demetrios G. Vavvas. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.