Optic Pit Macular Detachment

A 36-year-old male with a known history of optic pit and associated subretinal fluid resulting in a scotoma presented with recent progression and loss of central vision in his left eye. Macular schisis and central subretinal fluid were present on OCT. One month of oral Diamox resulted in no improvement, so posterior vitreous detachment was induced and an ILM flap was created that hinged over the optic nerve. Face-down positioning was recommended for 3 days. At 2 weeks postoperatively, the optic nerve edge was attached and the ILM flap well positioned, but slow improvement after that point prompted the addition of peripapillary laser to the temporal disc margin at 3 months. One year after surgery, the macula was attached and the patient's vision had improved to 20/50.

Financial Disclosures: Dr. Tahsin Khundkar discloses no financial relationships.