Serous macular detachment associated with optic nerve pits

Abstract

Between September 1972 and March 1989, we examined 25 eyes of 24 patients exhibiting optic nerve-head pits associated with serous macular detachment. We followed 21 patients for a period of 1-15 years (mean, 62 months). Various treatment modalities were applied, depending on the time of initial examination. Five eyes underwent no treatment and three eyes underwent two distinct treatment modalities. Photocoagulation treatment was performed in ten eyes. Argon laser photocoagulation was combined with intravitreal injection of pure SF6 in eight eyes and of C3F8 in three. Intravitreal injection of pure C3F8 without photocoagulation was carried out in two eyes. The results of biomicroscopy of the vitreous gel and of fluorescein angiography and the responses to the various treatment modalities support the hypothesis that the mechanism underlying serous macular detachment complicating optic nerve-head pits is traction retinal detachment combined with a rhegmatogenous component in the roof of the optic pit.

Gas tamponade combined with laser photocoagulation therapy for congenital optic disc pit maculopathy

“…Serous macular detachment or schisis develops in B25-75% of patients with visual deterioration. 3 Although spontaneous reattachment has been reported, 4,5 the prognosis of ODPM is poor if left to its natural course. 6 Several therapeutic approaches have been attempted, but responses have been variable.…”

“…However, the precise origin of the sub-retinal fluid remains elusive. Several possible sources have been suggested, including cerebrospinal fluid, liquefied vitreous, 3,14 or leaky vessels at the base of the pit. 2 Postel et al 15 also observed some cases with a subtle tear in the diaphanous tissue overlying the optic pit, suggesting a rhegmatogenous component to the detachment.…”

Levels of beta‐trace protein in optic disc pit with macular detachment

“…2012; Avci et al. 2013), as does the reported spontaneous healing of macular detachment after posterior vitreous detachment (Bonnet 1991). …”

“…2012) and can lead to permanent loss of vision and the development of a macular hole, especially if the duration of SRF has been long (Sobol et al. 1990; Bonnet 1991). …”

Surgical treatment of macular detachment secondary to congenital pit of the optic disc: case report

“…Serous macular retinal detachment is associated with 25% to 75% of optic nerve head pits (2)(3)(4) . Using the cross-sectional retinal imaging provided by optical coherence tomography (OCT), several authors have confirmed the concept of a bilaminar structure with schisis-like retinal changes overlying a more central neurosensory retinal detachment (5)(6)(7) .…”