Surgical Mx of optic disc pit maculopathy with a fovea spari
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Optic disc pit (ODP) is a rare congenital cavitary anomaly of the optic disc. Serous detachment of macula is the most common complication of ODP and occurs in 25%–75% of these cases. Although various surgical techniques have been used for the treatment of ODP maculopathy; consensus still eludes as far as the optimal surgical approach is concerned. We herein report a case of ODP maculopathy in a young female treated successfully with vitrectomy, fovea sparing internal limiting membrane flap, and C3F8 tamponade. A 27-year-old woman presented with painless, progressive diminution of central vision in her left eye for 1 year. Best-corrected visual acuity (BCVA) was 20/20 and 20/50 in her right and left eye, respectively. Anterior segment examination was unremarkable in both eyes. Fundus of the right eye was normal. Left eye revealed an oval, gray-yellow craterlike depression at the superotemporal aspect of optic disc suggestive of an ODP. Left eye also had serous macular detachment measuring about 1.5 disc diameter. Spectral domain optical coherence tomography (SDOCT) of the left eye showed outer layer retinoschisis, inner layer retinoschisis, and outer layer hole (OLH) with a central macular thickness of 737 um. SDOCT of the right eye was normal.

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