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My standard approach to macular detachment associated to optic pit is vitrectomy with posterior hyaloid removal, ILM peeling with or without laser temporal to optic nerve head and gas as a first line treatment. In case of recurrence of macular detachment, I usually use ILM flaps around the optic nerve head to use as a seal over the pit as a second line treatment and autologous fibrin to seal the pit as a third line treatment.