Vitreous & Retina

















Hereditary / Congenital
Another case of 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.

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