Spontaneous improvement of serous maculopathy associated with congenital optic disc pit: an OCT study

Optical coherence tomography in optic pit maculopathy

“…The variation observed in our series and in other studies should be emphasized [6,7,19]. It is known that optic pit maculopathy regresses spontaneously [20], and studies have shown that both retinoschisis and serous macular detachment regress with time. This is a slow process and takes many years in some patients.…”

Visual improvement after long-standing central serous macular detachment associated with an optic disc pit

“…Resolution of the subretinal fluid occurred, and final acuity remained 6/18. Finally, Vedantham and Ramasamy reported an OCT-documented resolution of subretinal fluid associated with improvement in acuity from 6/18 to 6/9 after the 1-month follow-up [2].…”

“…Although spontaneous resolution of the serous detachment with visual recovery can occur within a relatively short time period of onset [2], long-standing serous detachments (over 1 year) with poor initial presenting acuity are usually associated with cystic degeneration of the macula and loss of pigment from the underlying retinal pigment epithelium, with resultant poor visual outcome [1,[3][4][5]. We report an unusual case of an optic disc pit associated with a longstanding serous macular detachment that resolved gradually over a 2.5-year period and, despite very poor presenting visual acuity, demonstrated eventual visual recovery.…”

Gas tamponade combined with laser photocoagulation therapy for congenital optic disc pit maculopathy

“…Serous macular detachment or schisis develops in B25-75% of patients with visual deterioration. 3 Although spontaneous reattachment has been reported, 4,5 the prognosis of ODPM is poor if left to its natural course. 6 Several therapeutic approaches have been attempted, but responses have been variable.…”