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CASE REPORT
Year : 2018  |  Volume : 56  |  Issue : 3  |  Page : 177-179

Acquired pit of the optic nerve in primary angle-closure glaucoma


Department of Ophthalmology, M N Eye Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Murali Ariga
M N Eye Hospital, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_64_18

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Herein, we report a case of acquired optic nerve pit in a 46-year-old Indian male, a known case of primary angle closure glaucoma (PACG) compatible with treatment for the past 15 years. He presented to our clinic with complaints of recent decrease in vision; on examination, his visual acuity was found correctable to 6/6 and 6/12 in the right and left eye, respectively. Fundoscopy revealed glaucomatous cupping in both the eyes and subretinal fluid in macula of the left eye. Swept-source optical coherence tomography macula and retinal nerve fiber layer disclosed acquired pit of the optic nerve (APON) in the left eye. The patient was under continuous follow-up and maculopathy spontaneously resolved. An APON may indicate progression of glaucoma and was more commonly reported in cases of primary open-angle glaucoma; we aimed to report an unusual presence of APON in a case of PACG.


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