In the February 2003 issue of the Archives, we described a new funduscopic lesion that we termed peripapillary detachment in pathologic myopia.1 Clinically, these lesions were seen as a well-circumscribed yellow-orange thickening at the inferior border of the myopic conus. First-generation optical coherence tomographic imaging appeared to show a peripapillary detachment of retinal pigment epithelium and retina. The lesions remained stable during a multiyear follow-up period and did not appear to affect visual function. Further studies, including one in the Archives by Shimada et al,2 supported our findings and added that peripapillary detachment in pathologic myopia could surround the entire optic disc and may be associated with abnormalities of retinal vasculature and with visual field defects. With newer-generation optical coherence tomographic imaging, Toranzo et al3 reevaluated these lesions and observed an intrachoroidal hyporeflective space with normal overlying retinal pigment epithelium and retina. This finding was inconsistent with our original description. They suggested a new term for the lesion, peripapillary intrachoroidal cavitation.