Resolución espontánea del desprendimiento macular asociado a anomalías congénitas del nervio óptico: coloboma del disco óptico y foseta papilar

Spontaneous Resolution ofLong-Standing Macular Detachment due to Optic Disc Pit with Significant Visual Improvement

“…There are previous studies describing the resolution of optic disc pit associated with serous macular detachments without treatment [1, 3, 9, 10, 11, 12, 13, 14]. Sugar [3] reported that 7 out of 8 cases with optic disc pit presented a clinically documented resolution of subretinal fluid, although final visual acuity was most dependent on initial visual acuity.…”

“…Finally, Cruzado-Sanchez et al [14] presented the case of a 38-year-old female with optic disc pit who developed resolution of a serous macular detachment without treatment in 3 months after initial presentation and an improvement in visual acuity from 20/200 to 20/25. Therefore, based on the current literature, spontaneous resolution of macular detachments due to optic disc pit seldom happens, and if a macular detachment is long-standing, i.e., more than 3 months, it most probably results in poor visual outcome [1, 3, 9, 10, 11, 12, 13, 14]. Our case, however, exhibited significant improvement in visual acuity from 6/24 to 6/12 after spontaneous resolution of a long-standing serous macular detachment over a period of 3 years, which remains stable at the 6-month follow-up.…”

“…Although few cases of spontaneous resolution of macular detachment due to optic disc pit have been reported in children [7, 8] and adults [1, 3, 9, 10, 11, 12, 13, 14], they most commonly result in poor visual outcome, especially if subretinal fluid persists more than 3 months [2, 14]. Herein, we report a rare case of spontaneous resolution of a long-standing (3 years) serous macular detachment associated with an optic disc pit leading to significant visual improvement, which remained stable at the 6-month follow-up.…”