|Year : 2023 | Volume
| Issue : 2 | Page : 561-562
Bilateral optic disc pit with unilateral maculopathy
Ipsita Barman, Vinod Kumar
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India
|Date of Submission||24-Nov-2022|
|Date of Acceptance||09-Jan-2023|
|Date of Web Publication||28-Apr-2023|
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi
Source of Support: None, Conflict of Interest: None
Keywords: Bilateral, maculopathy, optic disc pit
|How to cite this article:|
Barman I, Kumar V. Bilateral optic disc pit with unilateral maculopathy. Indian J Ophthalmol Case Rep 2023;3:561-2
A 22-year-old healthy female patient presented with diminution of vision in her left eye since 2 years. Best corrected visual acuity was 6/6 in right eye and finger counting in left eye. Fundus examination revealed temporal optic disc pit in both the eyes [Figure 1]a and [Figure 1]b and chronic disc pit maculopathy in the left eye which was evident on autofluorescence [Figure 1]c and [Figure 1]d and optical coherence tomography [Figure 2]a and [Figure 2]b. The patient was advised left eye vitrectomy under guarded visual prognosis and regular follow-up for the right eye to rule out development of maculopathy.
|Figure 1: Colour fundus photographs showing temporal disc pits in both the eyes (a and b). Fundus autofluorescence is normal in right eye (c) and shows large area of hyperautofluorescence suggesting chronic maculopathy (d)|
Click here to view
|Figure 2: (a and b) Optical coherence tomography shows right eye optic disc pit and left eye optic disc pit with maculopathy|
Click here to view
| Discussion|| |
Optic disc pit is a cavitary disc anomaly and is unilateral predominantly, though it can be bilateral in up to 10%–15% of the cases. Not all eyes with optic disc pit develop maculopathy. The risk factors for developing maculopathy in these eyes are disc pits in temporal neuroretinal rim and larger pits.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Georgalas I, Ladas I, Georgopoulos G, Petrou P. Optic disc pit: A review. Graefes Arch Clin Exp Ophthalmol 2011;249:1113-22.
Moisseiev E, Moisseiev J, Loewenstein A. Optic disc pit maculopathy: When and how to treat? A review of the pathogenesis and treatment options. Int J Retina Vitreous 2015;1:1-9.
[Figure 1], [Figure 2]