title: Spectral domain optical coherence tomography morphology in optic disc pit associated maculopathy.
abstract: OBJECTIVE
  Our purpose was to study the clinical manifestation and course of optic pit maculopathy using Spectral Domain Optical Coherence Tomography (SD- OCT) images.
  
  
  METHODS
  We used SD-OCT to examine 20 eyes of 19 patients with a macular detachment in combination with an optic.
  
  
  RESULTS
  We observed five different fovea appearances in regard to fluid localization. In five eyes, we recorded changes in the fluid distribution with SD-OCT. In 17/20 eyes, we noted a communication between the perineural and subretinal and/or intraretinal space at the margin of the optic disc.
  
  
  CONCLUSIONS
  3-dimensional SD-OCT (3D-SDOCT) scans revealed a three-fold connection, between subretinal and intraretinal space, perineural space, and the vitreous cavity. Therefore, we suppose that intraretinal or subretinal fluid in optic pit maculopathy may have both a vitreous and cerebrospinal origin. A membrane, covering the optic nerve was noted in 14 cases. Even if it seems intact in some B-scans, it is not complete in others several micrometers apart. Additionally, we observed fluid accumulation below the margin of the optic disc and hyperreflective porous tissue in the optic disc excavation. Those findings do not influence the course of maculopathy.
authors.forename: Janusz
authors.initials: J
authors.lastname: Michalewski
authors.affiliation: Ophthalmic Clinic, Jasne Blonia, Rojna 90, Lodz 91-162 Lodz, Poland.
authors.forename: Zofia
authors.initials: Z
authors.lastname: Michalewska
authors.forename: Jerzy
authors.initials: J
authors.lastname: Nawrocki
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008266:Macula Lutea / Q000473:pathology*; D008297:Male; D009898:Optic Disk / Q000473:pathology*; D009901:Optic Nerve Diseases / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D012162:Retinal Degeneration / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D013997:Time Factors; D041623:Tomography, Optical Coherence / Q000379:methods*; D014792:Visual Acuity