Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Apr;68(4):663-665.
doi: 10.4103/ijo.IJO_1114_19.

Management of double optic disc pit complicated by maculopathy

Naresh Babu  1 , Girish Baliga  1 , Piyush Kohli  1 , Kim Ramasamy  1
Affiliations
Case Reports

Management of double optic disc pit complicated by maculopathy

Naresh Babu et al. Indian J Ophthalmol. 2020 Apr.

Abstract

Optic disc pit (ODP) is a rare, congenital, cavitary anomaly of the optic disc. Usually, single ODP occurs in an eye and only eleven cases of double ODP have been reported so far in the literature. In the present study, we report a case of unilateral double ODP, with both the pits present in opposite disc segments. They were associated with serous retinal detachment at the macula and retinal pigment epithelium degeneration nasal to disc. The case was managed successfully with vitrectomy, internal limiting membrane peeling, plugging the pits with homologous partial-thickness scleral flaps, and gas tamponade.

Keywords: Optic disc pit maculopathy; scleral plug; vitrectomy.

PubMed Disclaimer

Conflict of interest statement

None

Figures

Figure 1
Figure 1
Colour fundus images showing (a) preoperative status of the two distinct optic disc pits. The pit in inferotemporal segment of disc (thin arrow) was associated with large serous retinal detachment (asterix) and retinal pigment epithelium (RPE) degeneration at macula, while the one at inferonasal end (solid arrow) was associated with RPE degeneration nasal to disc (arrowhead), (b) postoperative status of the two pits, each snugly fit with scleral plug
Figure 2
Figure 2
Fundus autofluorescence showing (a) hypo-autofluorescence in the region corresponding to SRD at macula; and (b) hypo-autofluorescence nasally in the region corresponding to RPE degeneration, which was bordered by a hyper-autofluorescence ring
Figure 3
Figure 3
Optical coherence tomography images of the line scans through disc showing (a) preoperative status of optic disc showing two distinct pits, one at the inferotemporal segment of disc (solid arrow) and the other at inferonasal segment (arrowhead), and communication between the disc and retinal layers (thin arrow); (b) preoperative status of optic disc showing communication between the pit and subretinal space; (c) postoperative status showing closure of the communication
Figure 4
Figure 4
Optical coherence tomography images of the line scans through macula showing (a) preoperative status of macula with serous retinal detachment (SRD, 1353 μ) and intraretinal fluid; (b) 45 days postoperative status showing further reduction of SRD (300 μ). No macular hole formation was observed
See this image and copyright information in PMC

Comment in

References

    1. Uzel MM, Karacorlu M. Optic disk pits and optic disk pit maculopathy: A review. Surv Ophthalmol. 2019;64:595–607. - PubMed
    1. De Laey JJ, Goes F, Box D. Double optic pit with wedge-shaped choroidal dystrophy. Int Ophthalmol. 1979;1:171–4. - PubMed
    1. Jonas JB, Naumann GO. Pits of the optic papilla in large optic nerve papillae. Papillometric characteristics in 15 eyes. Klin Monbl Augenheilkd. 1987;191:287–91. - PubMed
    1. Silva NA, Bedran MF, Silva FA, Rocha GM. Unilateral double optic disc pit: Case report. Arq Bras Oftalmol. 2010;73:459–61. - PubMed
    1. Gregory-Roberts EM, Mateo C, Corcóstegui B, Schiff WM, Chang LK, Quiroz-Mercado H, et al. Optic disk pit morphology and retinal detachment: Optical coherence tomography with intraoperative correlation. Retina. 2013;33:363–70. - PubMed

Publication types