Discussion highlights how peripapillary intrachoroidal cavitation mimics visual field defects in normal-tension glaucoma, suggesting OCT for accurate diagnosis.
Peripapillary Intrachoroidal Cavitation, a masquerade of normal-tension glaucoma Dr Adèle Ehongo discusses peripapillary intrachoroidal cavitation (PICC), a masquerade of normal-tension glaucoma. When it looks like normal tension glaucoma but isn’t, simply consider unmasking it with Optical Coherence Tomography (OCT). Glaucoma is the leading cause of irreversible blindness worldwide. (1) Normal-tension glaucoma is a subtype characterized by progressive optic nerve damage despite intraocular pressure remaining within the normal range. (1) This diagnosis is made after excluding other causes of glaucomatous-type visual field defects (VFDs). In this context, peripapillary intrachoroidal cavitation (PICC) should be excluded, which has recently gained renewed interest thanks to advances in OCT. (2,3,4)
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Adèle Ehongo (2025) studied this question.
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