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.

Recommended reference:

Kalogeropoulos D, Ch’ng SW, Lee R, Elaraoud I, Purohit M, Felicida V, Mathew M, Ajith-Kumar N, Sharma A, Mitra A. Optic Disc Pit Maculopathy: A Review. Asia Pac J Ophthalmol (Phila). 2019 May-Jun;8(3):247-255. [Link]

Location Birmingham Midlands Eye Centre 76 Dudley Road Birmingham B18 7QH UK Phone 0121 554 3801 Hours Mr Ch'ng | Vitreoretinal Clinic Sessions: Monday: 8.30am - 12.30pm Wednesday (alternate): 8.30am - 5.00pm Thursday: 8.30am - 12.30pm Friday: 8.30am - 12.30pm | Vitreoretinal Theatre Sessions: Wednesday (alternate): 8.30am - 5.00pm & Friday (emergency cases): 1.30pm - 5.00pm | Eye Casualty Session: Monday 1.00pm - 4.30pm |
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