Peripapillary Intrachoroidal Cavitation and Optic Pit in a Case of High Myopia and Glaucoma

Purpose: To report a case of peripapillary intrachoroidal cavitation (choroidal schisis) and optic pit in a case of high myopia and open-angle glaucoma. Case report: A 30-year-old high myopic man was referred to our clinic for presumed peripapillary choroidal tumors. In funduscopy, there were two yellow-orange and slightly elevated peripapillary lesions in both eyes with indistinct margins. A splinter hemorrhage was seen inferior to the left optic disc. Peripapillary enhance depth optical coherence tomography (EDI-OCT) revealed peripapillary intrachoroidal cavitations connected to the vitreous cavity via an optic pit. Peripapillary OCT and perimetry were compatible with glaucomatous damage in both eyes. Conclusion: Peripapillary intrachoroidal cavitation (PICC) should be considered in the differential diagnosis of peripapillary choroidal lesions in high myopic eyes. Patients with PICC should be evaluated for glaucoma and optic pit.