Abstract

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Highlights

  • We describe a 65-year-old woman with a retinal vein exiting via the pit of the optic nerve (PON)

  • To the best of our knowledge, this is the first report of a retinal vein exiting the eye via an optic pit

  • There is no clear evidence of an anastomosis between the pial or posterior ciliary vessels of the optic nerve with the retinal vein

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Summary

Retinal Vein Passing through a Congenital Optic Nerve Pit

We describe a 65-year-old woman with a retinal vein exiting via the pit of the optic nerve (PON). A temporal congenital pit of the optic nerve (CPON) was detected in the right eye of a 65-yearold woman on routine examination. A retinal vein was noted to exit directly through the optic pit. The left optic nerve was normal [Figure 1b]. Horizontal and vertical sections of the spectral domain optical coherence tomography (SD-OCT) scans of the right eye showed cavitation in the disc stroma [Figures 2a and 2b]. Horizontal sections of the SD-OCT scans showed the relationship of the PON with the retinochoroidal vein [Figure 3]. OCT angiography demonstrated cavitation in the disc stroma and a retinochoroidal vein that emerged through the PON at the level of the superficial capillary plexus in the right eye [Figure 4].

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