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Optic Disk Pit with Sudden Central Visual Field Scotoma.

Nikol Panou1, Demetrios G Vavvas2

  • 1Ophthalmic Clinic, General Oncologic Hospital "Agioi Anargyroi", Kaliftaki, N. Kifissia, 14564 Attiki, Greece.

Case Reports in Ophthalmological Medicine
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Summary
This summary is machine-generated.

Optic disk pit (ODP) can cause sudden central vision loss. This case links ODP to delayed blood flow in retinal arteries, causing visual field defects.

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Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology

Background:

  • Optic disk pit (ODP) is a rare congenital anomaly.
  • ODP can be associated with visual field defects and retinal abnormalities.

Purpose of the Study:

  • To report a case of ODP presenting with sudden central visual field scotoma.
  • To investigate the potential vascular mechanisms underlying visual field loss in ODP.

Main Methods:

  • A 49-year-old woman with sudden painless central visual field loss was evaluated.
  • Diagnostic tools included neuroophthalmologic examination, imaging (OCT, fluorescein angiography), and laboratory tests.

Main Results:

  • Fundoscopy revealed an inferotemporal ODP.
  • Perimetry showed a central horizontal visual field scotoma.
  • OCT indicated inner retina thinning, and fluorescein angiography demonstrated delayed filling of cilioretinal arteries and retinal arterioles.

Conclusions:

  • Sudden central visual field scotoma in ODP may be linked to impaired vascular filling within the optic disc anomaly.
  • Delayed perfusion of retinal arteries and arterioles in the ODP region is a potential cause of visual field deficits.