Salim Ben Yahia*, Rim Kahloun, Ghassen Laadhari, Ahmed Mahjoub, Sonia Attia, Moncef Khairallah (Monastir, Tunisia)

Advantages:

To manage serous macular detachment associated with optic disc pit with vitrectomy, laser photocoagulation to the margin of the optic disc, and gas tamponade.

Methods:

An 18-year-old female with serous macular detachment associated with a congenital optic pit underwent pars plana vitrectomy, induction of posterior vitreous detachment, laser photocoagulation to the temporal margin of the optic disc, and C3F8 gas tamponade with postoperative facedown positioning for 1 week.

Effectiveness / Safety:

Resolution of intraretinal and subretinal fluid, confirmed by optical coherence tomography, occurred 10 months after surgery. The retina remained attached during a follow-up period of 24 months and visual acuity improved from 20/400 before surgery to 20/25 at the last follow-up visit.

Take home message:

Complete resolution of subretinal fluid secondary to optic pit after vitrectomy may occur several months after surgery. Physicians should wait before indicating reinterventions for persistent macular detachment.