Abstract
The first description of congenital optic disc PIT (ODP) was in 1882 by Wiethe who notes a dark depression in both optic discs of a 62-year-old woman (Wiethe 1882). There is no difference between gender, 85% of the patients have unilateral commitment, and the estimated incidence is 1 in 11,000 eyes (Brown et al. 1980; Kelkar et al. 2012). The main complication is maculopathy which occurs in 25–75% of patients presenting with poor visual acuity and macular detachment detected with fundus exam and OCT (Georgalas et al. 2010). In those cases, the treatment is with pars plana vitrectomy associated with laser photocoagulation in the margin of OPD, which generally is the first approach (Karanjia et al. 2018).
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References
Banker AS, Greeman WR, Azen SP, Lay MY. A multicentered clinical study of serum as adjuvant therapy for surgical treatment of macular holes. Vitrectomy for macular hole study group. Arch Ophthalmol. 1999;117(11):1499–502.
Billi B, Lesnoni G, Giuliano M, et al. Post-traumatic macular break associated to congenital optic disc pit and pre-existing sensory macular detachment. Int Ophthalmol. 1996;20:269–72.
Bonnet M. Serous macular detachment associated with optic nerve pits. Graefes Arch Clin Exp Ophthalmol. 1991;229:526–32.
Brockhurst RJ. Optic pits and posterior retinal detachment. Trans Am Ophthalmol Soc. 1975;73:264–91.
Brodsky MC. Congenital optic disk anomalies. Surv Ophthalmol. 1994;39(2):89–112.
Brown GC, Shields JA, Goldberg RE. Congenital pits of the optic nerve head. Ophthalmology. 1980;87(1):51–65.
Colyer MH, Weichel ED, Ward TP. Blast injury-associated optic disc pit maculopathy. Br J Ophthalmol. 2007;91(4):558.
David D, Reed OD. Congenital pits of the optic nerve. Clin Eye Vision Care. 1999;11:75–80.
Ezra E, Gregor ZJ, Morfields Macular Hole Study Group Report No. 1. Surgery of idiopathic full-thickness macular hole: two-year results of a randomized clinical trial comparing natural history, vitrectomy, and vitrectomy plus autologous serum: Morfields Macular Hole Study Group Report no. 1. Arch Ophthalmol. 2004;122(2):224–36.
Georgalas I, Ladas I, Georgopoulos G, Petrou P. Optic disc pit: a review. Graefes Arch Clin Exp Ophthalmol. 2010;249(8):1113–22.
Gordon R, Chatfield RK. Pits in the optic disc associated with macular degeneration. Br J Ophthalmol. 1969;53(7):481–9.
Irvine AR, Crawford JB, Sullivan JH. The pathogenesis of retinal detachment with morning glory and optic pi. Retina. 1986;6(3):146–50.
Jain N, Johnson MW. Pathogenesis and treatment of maculopathy associated with cavitary optic disc anomalies. Am J Ophthalmol. 2014;158:423–35. https://doi.org/10.1016/j.ajo.2014.06.001.
Karanjia R, Khaderi SKR, Sadun AA. Optic disc anomalies, drusen, pits, and associated retinal pathology. Ryan’s Retina. 2018;96:1786–95.
Kelkar AS, Kelkar JA, Bhanushali DR, Kelkar SB. Surgical management of optic disc pit maculopathy with outer retinal hole. Case Rep Ophthalmol. 2012;3(2):185–9.
Kranenburg EW. Crater-like holes in the optic disc and central serous retinopathy. Arch Ophthalmol. 1960;64:912–24.
Lincoff H, Kreissig I. Optical coherence tomography of pneumatic displacement of optic disc pit maculopathy. Br J Ophthalmol. 1998;82(4):367–72.
Meyer CH, Rodrigues EB. Optic disc pit maculopathy after blunt ocular trauma. Eur J Ophthalmol. 2004;14:71–3.
Michalewski J, Michalewska Z, Nawrocki J. Spectral domain optical coherence tomography morphology in optic disc pit associated maculopathy. Indian J Ophthalmol. 2014;62(7):7777–81.
Neto CA, Moreira Junior CA. Vitrectomy and gas-fluid exchange for the treatment of serous macular detachment due to optic disc pit: long-term evaluation. Arq Bras Oftalmol. 2013;76(3):159–62.
Sobol WM, Blodi CF, Folk JC, et al. Long-term visual outcome in patients with optic nerve pit and serous retinal detachment of the macula. Ophthalmology. 1990;97(11):1539–42.
Stefko ST, Campochiaro P, Wang P, Li Y, Zhu D, Traboulsi EL. Dominant inheritance of optic pits. Am J Ophthalmol. 1997;124(1):112–3.
Sugar HS. Congenital pits in the optic disc with acquired macular pathology. Am J Ophthalmol. 1962;32(2):141–4.
Valdés-Lara CA, Crim N, García-Aguirre G, Lule IÁ, Morales-Cantón V. Micropulse laser for persistent optic disc pit maculopathy. A case report. Am J Ophthalmol Case Rep. 2018;10:282–4.
Wiethe T. Ein Fall von angeborener Difformitat der Sehnervenpapille. Arch Augenh. 1882;11:14–9.
Wise G, Dollery C, Henkind P. The retinal circulation. New York: Harper & Row; 1971.
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Pacovska, M.F., Tomazoni, E. (2020). Congenital Optic Disc PIT. In: Rodrigues, E., Meyer, C., Tomazoni, E. (eds) Trauma and Miscellaneous Disorders in Retina. Retina Atlas. Springer, Singapore. https://doi.org/10.1007/978-981-13-8550-6_16
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