Congenital Optic Disc PIT
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).
- 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.CrossRefGoogle Scholar
- Karanjia R, Khaderi SKR, Sadun AA. Optic disc anomalies, drusen, pits, and associated retinal pathology. Ryan’s Retina. 2018;96:1786–95.Google Scholar
- 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.Google Scholar
- Sugar HS. Congenital pits in the optic disc with acquired macular pathology. Am J Ophthalmol. 1962;32(2):141–4.Google Scholar
- Wiethe T. Ein Fall von angeborener Difformitat der Sehnervenpapille. Arch Augenh. 1882;11:14–9.Google Scholar
- Wise G, Dollery C, Henkind P. The retinal circulation. New York: Harper & Row; 1971.Google Scholar