Spontaneous Resolution of Long-Standing Macular Detachment due to Optic Disc Pit with Significant Visual Improvement.
OBJECTIVE
To report a case of spontaneous resolution of a long-standing serous macular detachment associated with an optic disc pit, leading to significant visual improvement.


METHODS
A 63-year-old female presented with a 6-month history of blurred vision and micropsia in her left eye. Her best-corrected visual acuity was 6/24 in the left eye, and fundoscopy revealed serous macular detachment associated with optic disc pit, which was confirmed by optical coherence tomography (OCT). The patient was offered vitrectomy as a treatment alternative, but she preferred to be reviewed conservatively. Three years after initial presentation, neither macular detachment nor subretinal fluid was evident in OCT, while the inner segment/outer segment (IS/OS) junction line was intact. Her visual acuity was improved from 6/24 to 6/12 in her left eye, remaining stable at the 6-month follow-up after resolution.


CONCLUSIONS
We present a case of spontaneous resolution of a long-standing macular detachment associated with an optic disc pit with significant visual improvement, postulating that the integrity of the IS/OS junction line may be a prognostic factor for final visual acuity and suggesting OCT as an indicator of visual prognosis and the probable necessity of a surgical management.
2nd Eye Clinic, Ophthalmiatrion Athinon, Athens, Greece.
Efstratios A
EA
Parikakis
2nd Eye Clinic, Ophthalmiatrion Athinon, Athens, Greece.
Irini P
IP
Chatziralli
2nd Eye Clinic, Ophthalmiatrion Athinon, Athens, Greece.
Vasileios G
VG
Peponis
2nd Eye Clinic, Ophthalmiatrion Athinon, Athens, Greece.
Dimitrios
D
Karagiannis
2nd Eye Clinic, Ophthalmiatrion Athinon, Athens, Greece.
Aimilianos
A
Stratos
2nd Eye Clinic, Ophthalmiatrion Athinon, Athens, Greece.
Vasileia A
VA
Tsiotra
2nd Eye Clinic, Ophthalmiatrion Athinon, Athens, Greece.
Panagiotis G
PG
Mitropoulos
Inner segment/outer segment; Macular detachment; Optic disc pit; Optical coherence tomography; Spontaneous resolution