Optic Disc Pit Maculopathy in a Nine -Year-Old Child: A case report

Abstract

Background: Optic disc pit is a rare optic disc abnormality. It appears as a round or oval, gray, white, or yellowish depression in the optic disc. This disorder can be associated with serous retinal detachment which results on a visual deterioration. Optic pit-associated maculopathy generally occurs in the third and fourth decade of life. The development of optic disc pit maculopathy (ODP-M) in childhood is rare and there are not enough studies on the treatment methods. Therefore, our case report may be helpful in the management of similar cases of paediatric optic disc maculopathy.

Case report: There is a little current consensus on treatment of pediatric optic disc pit-associated maculopathy. In this article, we report a case of an optic disc pit maculopathy in a 9 years old patient, who presented for a routine change of glasses, with a history of gradual deterioration of vision in left eye since 4 months. The fundus examination of the left eye showed a macular retinal serous detachment and a temporal oval optic disc pit gray in color, while ocular examination of the right eye was completely normal. Spectral Domain- Optical coherence tomography (SD-OCT) of the left eye showed a large serous retinal detachment with macular retinoschisis and cystoid macular edema. Spontaneous regression can occur in the pediatric optic disc pit maculopathy after several months.

Conclusion: ODP-M is a rare condition that presents usually in the third or fourth decade of life. In the present case, it appeared in an earlier age than mostly reported. With regular follow up, spontaneous regression eventually happened after several months.