To report our outcomes in the management of optic pit disc and optic nerve coloboma associated maculopathy.


We report 3 cases of optic disc pits and a rare case of temporal optic disc coloboma followed in consult in our hospital. Three of them developed macular detachment and of these, two were proposed to pars plana vitrectomy with internal limiting membrane peeling, peripapillary laser and gas tamponade. The first case refers to a 70 years-old-man who developed vision loss in OD the last 3 months due to an optic disc pit, with macular detachment resolution in 2 months and BCVA improvement from 4/10 to 6/10. The second case refers to a 48 years-old-woman with acute vision loss in OS in the context of a temporal optic disc isolated coloboma, whose macula attached one month after surgery and with BCVA improvement from 2/10 to 8/10. The other patient with macular detachment was a 24 years-old-woman with an optic disc pit in her OS with BCVA of 10/10, whose serous detachment decreased if she slept in right lateral decubitus and that completely solved after 2 months. The last case of all refers to 79 years-old-woman with an optic pit in her OD, completely asymptomatic and without macular changes, who has BCVA of 1.0 after cataract surgery.


Macular detachments associated with optic disc pits and optic disc colobomas can solve spontaneously. If reattachment doesn´t occur after 4-6 weeks a combination of pars plana vitrectomy with pealing of internal limiting membrane, pneumopexia and peripapillary laser is an effective treatment approach.