Peripapillary detachment Figure 2 The OCT image of the right eye demonstrates the presence of a nonreﬂective space between the RPE and the neurosensory retina all around the optic disc.The presence of some bridging tissue (probably Muller’s cells) led us to classify it as an outer retinal layer schisis. No epiretinal membranes were detected.The scans crossing the optic nerve head conﬁrmed the lack of an optic disc pit. et al 2002). Other conditions that need to be differentiated include all diseases likely to induce a peripapillary neuro- retinal and/or RPE detachment in a young adult, such as peripapillary choroidal neovascularization (either idiopathic or secondary), polypoidal choroidal vasculopathy and central serous chorioretinopathy. All these conditions were ruled out by FA and ICGA. In conclusion, this case suggests that the spectrum of PPRD in pathological myopia may extend beyond the already described picture of RPE detachment and/or intrachoroi- dal cavitation and include retinal alterations that closely resemble macular retinoschisis, but are located next to the optic disc. References Benhamou N, Massin P, Haouchine B, et al. 2002. Macular retinoschisis in highly myopic eyes. Am J Ophthalmol, 133:794–800. Freund KB, Ciardella AP, Yannuzzi LA, et al. 2003. Peripapillary detach- ment in pathologic myopia. Arch Ophthalmol, 121:197–204. Rutledge BK, Puliaﬁto CA, Duker JS, et al. 1996. Optical coherence tomography of macular lesions associated with optic nerve head pits. Ophthalmology, 103:1047–53. Shimada N, Ohno-Matsui K, Yoshida T, et al. 2006. Characteristics of peripapillary detachment in pathologic myopia. Arch Ophthalmol, 124:46–52. Toranzo J, Cohen SY, Erginay A, et al. 2005. Peripapillary intrachoroidal cavitation in myopia. Am J Ophthalmol, 140:731–2. Clinical Ophthalmology 2007:1(3) 329