DR. PRAGATI TIWARI

Dr. ABHISHEK, Dr. AMIT RAJ

Abstract

Optic disc pits are cavitary anomalies of the optic disc that causes herniation of the dysplastic tissue through the cavity and allows collection of subretinal and intraretinal fluid due to leakage of syneretic vitreous and rise in intracranial pressure. A 50-year-old female walked into our OPD with complains of appearance of a shadow in front of her left eye. Her BCVA was 6/9. Anterior segment was unremarkable and a dilated fundoscopy revealed a large optic disc pit with a large area of neurosensory detachment. OCT across the lesion confirmed the serous macular detachment with central retinal thickness of 809 µ and areas of retinoschisis with a connection of this fluid to the optic disc. Owing to her good vision, she was kept under observation and was counselled regarding warning signs and provided with home Amsler charts. Examination of the optic disc goes beyond the cup-disc ratio and the presence of CSCR-like picture especially requires special attention to the optic disc.

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