Vitreous & Retina

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hereditary / Congenital
Optic disc pit at the temporal margin associated with serous macular detachment as clearly shown by the OCT image.

  • Clinical features:
    • Uncommon congenital condition.
    • Usually is unilateral.
    • Symptoms:
      • Enlarged blind spot
      • Visual field defect
      • Metamorphopsia and/or mild to severe decreased of visual acuity in the cases of macular involvement
    • Signs:
      • Mild enlargement of the disc
      • Variable sizes of crater-like or oval excavation of the disc
      • Usually located on the temporal side
    • Commonly associated with serous retinal detachment and peripapillary atrophy.
    • Can be complicated with cystic changes of the macula, macular hole, RPE changes, and schisis of the overlying retina.
  • Management:
    • Argon laser photocoagulation.
    • Vitrectomy with gas tamponade.

Copyright © 2003 Digital Reference of Ophthalmology. All rights reserved. All material published on this website is the property of Digital Reference of Ophthalmology and cannot be duplicated without permission.
Home Search Home Search