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Blast injury-associated optic disc pit maculopathy
  1. Marcus H Colyer,
  2. Eric D Weichel,
  3. Thomas P Ward
  1. Ophthalmology Service, Department of Surgery, Walter Reed Army Medical Center, Washington, DC, USA
  1. Correspondence to: Dr M H Colyer Ophthalmology Clinic-1F, Walter Reed Army Medical Center, Washington, DC 20307, USA;marcus.colyer{at}amedd.army.mil

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Congenital pits of the optic nerve head are anomalies of embryogenesis due to neuroectodermal fold remnants or aplasia of Bergmeister’s papilla.1 The defect allows the vitreous to pass spontaneously into the subretinal and inner nuclear layers of the retina, resulting in serous retinal detachment with macular cyst formation.2 Alternatively, a direct communication between the optic pit and subarachnoid space may exist, leading to cerebrospinal fluid (CSF) accumulation in the subretinal space as well as passage of intraocular contents into the CSF.3 A recent case report noted a symptomatic optic pit 3 months after a blunt ocular injury,4 and another case report noted an association between optic pit maculopathy and subsequent …

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