First Author: C.Montón Giménez SPAIN
Co Author(s): I. Alonso Martinez F. Romero Garcia Alix
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Optic disc pit is a rare congenital anomaly that can be complicated with maculopathy and progressive visual loss in 25-75% of the cases. The source of fluid and the mechanism of pathogenesis is not clear yet. In 25% of the cases occurs a spontaneous resolution. This case report supports that intraocular surgery including vitrectomy-gas injection is a valuable treatment for serous macular detachment associated with optical disc pit.
We present a case report of a healthy 16-year-old female with long-term visual acuity loss in the left eye. Examination of the left eye fundus showed a serous detachment of the posterior pole associated with optic disc pit. Optical coherence tomography showed a macular detachment.
The patient was treated with pars plana vitrectomy (PPV), triamcinolone acetate, posterior hyaloid peeling, internal limiting membrane (ILM) peeling and SF6 gas tamponade. Treatment did not include either laser photocoagulation or ILM flap.
The postoperative follow-up period was of 18 months. Visual acuity did not change after treatment (20/50 best corrected visual acuity), despite the anatomic improvement of the retina, probably because of the long-term visual acuity loss. No recurrence was observed in this case.
Although there are several different techniques described in literature, there is no clear guidelines to treat patients with optic disc pit maculopathy yet. The choice and timing of treatment is still challenging. This case report presents a patient with macular detachment associated with optic disc pit that was treated with a combination of PPV, posterior hyaloid peeling, ILM peeling and SF6 gas tamponade, and without laser photocoagulation or ILM flap. This treatment seems to be an effective option with stable anatomical and functional results.