Above are four consecutive horizontal sections through the macula OD. The PIL is near normal and relatively intact superior to the fovea and is absent under the foveal pit. By looking above the letters to be read on the Snellen Chart, the patient is placing the letters to be read on retinal points superior to the fovea. The PIL corresponding to this retinal location is intact and hence is preferred over the foveal fixation. In a recent article entitled “Integrity of Foveal Photoreceptor Layer in Central Retinal Vein Occlusion,” similar cases were documented.1