Visual improvement after long-standing central serous macular detachment associated with an optic disc pit.
BACKGROUND
Approximately 50% of cases of congenital optic disc pits are associated with serous macular detachment. Long-standing serous detachments (over 1 year) with poor initial presenting acuity are usually associated with cystic degeneration of the macula and loss of pigment from the underlying retinal pigment epithelium, with resultant poor visual outcome.


METHODS
A 43-year-old male presented with an optic disc pit and associated serous elevation of the macular region with cystic changes at the fovea.


RESULTS
Over the following 2 years, the patient was aware of an improvement in vision, and acuity improved from 1/60 to 6/18 with resolution of subretinal fluid, as evidenced on optical coherence tomography.


CONCLUSIONS
We report an unusual case of an optic disc pit associated with a long-standing serous macular detachment that resolved gradually over a 2.5-year period and, despite very poor presenting visual acuity, demonstrated eventual visual recovery.
Patton
Niall
N
Department of Vitreoretinal Surgery, Moorfields Eye Hospital, 162 City Road, London, EC1V 2PD, UK.
Aslam
Sher A
SA
Aylward
G W
GW
D000328:Adult; D005124:Eye Abnormalities / Q000503:physiopathology*; D006801:Humans; D008266:Macula Lutea / Q000503:physiopathology*; D008297:Male; D009898:Optic Disk / Q000002:abnormalities*; D020127:Recovery of Function / Q000502:physiology; D012075:Remission, Spontaneous; D044967:Serum; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology*; D020255:Vitreous Detachment / Q000209:etiology / Q000503:physiopathology*