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Peripapillary intrachoroidal cavitation in myopia.

Toranzo J, Cohen SY, Erginay A, Gaudric A

Department of Ophthalmology, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Paris, France.

PURPOSE: To report optical coherence tomography (OCT) findings in disorders recently described as peripapillary detachment in pathologic myopia (PDPM). DESIGN: Observational case report. METHODS: OCT, fluorescein, and indocyanine green angiography. RESULTS: A 69-year-old woman presented with bilateral yellow-orange peripapillary area at the inferior border of the myopic conus, typical of PDPM. OCT showed this area as a large intrachoroidal hyporeflective space located below the normal plane of the retinal pigment epithelium. There was no detachment of the retinal pigment epithelium which appeared flat. CONCLUSIONS: OCT findings suggest calling this anomaly peripapillary intrachoroidal cavitation, instead of peripapillary detachment in pathologic myopia.

Published 17 October 2005 in Am J Ophthalmol, 140(4): 731-2.
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