Evidence map›Paper›PMID 41658587›Full record

ArticleFrontiers in medicine2026

Case Report: A rare case of myopic macular pit mimicking duplication of the optic disc.

Sirui Zhou, Mingjue Hu, Yi Sun, Zhanfeng Wang, Ting Luo

Abstract readCase Reports
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sirui ZhouDepartment of Ophthalmology, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.
Mingjue HuDepartment of Ophthalmology, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.
Yi SunDepartment of Ophthalmology, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.
Zhanfeng WangDepartment of Ophthalmology, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.
Ting LuoDepartment of Ophthalmology, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Myopic macular pit (MMP) is a rare manifestation of pathologic myopia. Here, we report a case of MMP with optic disc-like features that posed a diagnostic challenge and was misinterpreted as duplication of the optic disc. Case presentation: A 69-year-old man with high myopia presented with visual impairment. Examination of his right eye revealed an axial length of 30.27 mm and best-corrected visual acuity of counting fingers at 10 cm. Fundus examination revealed a disc-sized pit within the macular atrophy, accompanied by radially oriented retinal and choroidal vessels. Owing to its disc-like appearance, the lesion was initially misdiagnosed as a duplication of the optic disc. Subsequent multimodal imaging established the correct diagnosis of MMP: orbital magnetic resonance imaging demonstrated a single optic nerve, fundus fluorescein angiography and indocyanine green angiography showed vascular filling consistent with short posterior ciliary arteries, and optical coherence tomography revealed chorioretinal atrophy and sharply curved scleral excavation. Conclusion: MMP should be differentiated from true and pseudoduplication of the optic disc. Multimodal imaging plays a pivotal role in resolving this diagnostic challenge.

Indexed as

case reportduplication of the optic discmultimodal imagingmyopic macular pitpathologic myopiascleral pit

Identifiers

PMID41658587
PMCPMC12872558

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