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

To report a case of peripapillary intrachoroidal cavitation (choroidal schisis) and optic pit in a case of high myopia and open-angle glaucoma.   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. 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.