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Case Reports
. 2021 Oct 4;6(5):419-423.
doi: 10.1177/24741264211046766. eCollection 2022 Sep-Oct.

Resolution of Optic Disc Pit Maculopathy Following Posterior Vitreous Detachment

Ali H Mannaa  1 , Reda A Issa  2   3 , J Shepard Bryan  2   3
Affiliations
Case Reports

Resolution of Optic Disc Pit Maculopathy Following Posterior Vitreous Detachment

Ali H Mannaa et al. J Vitreoretin Dis. .

Abstract

Purpose: This work presents a case of significant improvement of optic pit disc maculopathy following an acute posterior vitreous detachment (PVD) and discusses the possible mechanisms of this phenomenon.

Methods: A case report and review of the literature are presented.

Results: A 56-year-old man presenting with progressive visual decline in his left eye was found to have an optic disc pit with optical coherence tomography (OCT) evidence of severe intraretinal edema and maculoschisis. His visual acuity and macular anatomy on OCT improved dramatically in the months following a PVD.

Conclusions: This report presents an interesting case of spontaneous improvement of optic disc pit-related maculopathy following PVD. We discuss the cause of the retinal fluid accumulation in optic disc pit maculopathy and consider that the OCT findings in our case lend credence to the theory that this fluid originates from the vitreous humor.

Keywords: maculopathy; optic coherence tomography (OCT); optic disc pit; posterior vitreous detachment; retina; retinal fluid; vitreous humor.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Fundus photograph of the (A) right eye appearing normal and the (B) left eye showing a small inferior pole pit (arrow).
Figure 2.
Figure 2.
(A) Optical coherence tomography of the right eye, which appears to be normal. (B) Optical coherence tomography of the left eye showing posterior pole distortion with prominent intraretinal cystic edema and schisis likely extending from the optic disc into the foveal center without any subretinal fluid. N indicates nasal; T, temporal.
Figure 3.
Figure 3.
(A) Optical coherence tomography of the retinal nerve fiber layer of the left eye showing intraretinal fluid/schisis emanating from the inferotemporal edge of the optic disc. (B) Near-infrared imaging of the retinal nerve fiber layer of the left eye visualizes the inferior pit. Arrow indicates the optic disc pit.
Figure 4.
Figure 4.
Fluorescein angiogram at (A) early, (B) midphase, and (C) late stage showing peripapillary hyperfluorescence at the inferotemporal edge of the optic disc with mild staining that increased slightly without obvious leakage.
Figure 5.
Figure 5.
(A) Optical coherence tomography (OCT) at 3 months after presentation showing an outer macular retinal break. (B) Six months after presentation, and shortly after a posterior vitreous detachment developed, OCT showed decreased central thickening. (C) Twelve months after initial presentation there was significant improvement in the macular thickening and intraretinal schisis and edema. (D) OCT at 1½ years after presentation showing a normal foveal contour with a small area of central macular outer retinal layer discontinuity.(E) Thirty-six months after presentation, there is return of the normal foveal contour with a decrease in the small area of outer retinal layer discontinuity. N indicates nasal; T, temporal.
See this image and copyright information in PMC

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