Optic Disc Pit Maculopathy

Optic disc pit:

• Usually inferotemporal.

• Often asymptomatic.

• Symptomatic if causes macular schisis, LMH or macular detachment.

• Incidence: 1 in 11,000.

• Most cases bilateral.

Optic disc pit maculopathy:

• Investigation – OCT and FFA.

• RD related cases – 50% resolve ; 50% worsen.

• Treatment choices:

• 1. Observation

• 2. Steroids

• 3. Laser photocoagulation of peripapillary temporal (2-3 rows of laser spots)

• 4. PPV +/- endolaser of optic disc pit margin + ILM peel and flap into pit + gas tamponade.