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Congenital Optic Disc PIT

  • Mayara Fernanda Pacovska
  • Eduardo Tomazoni
Chapter
Part of the Retina Atlas book series (RA)

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).

References

  1. 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.CrossRefGoogle Scholar
  2. 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.PubMedGoogle Scholar
  3. Bonnet M. Serous macular detachment associated with optic nerve pits. Graefes Arch Clin Exp Ophthalmol. 1991;229:526–32.CrossRefGoogle Scholar
  4. Brockhurst RJ. Optic pits and posterior retinal detachment. Trans Am Ophthalmol Soc. 1975;73:264–91.PubMedPubMedCentralGoogle Scholar
  5. Brodsky MC. Congenital optic disk anomalies. Surv Ophthalmol. 1994;39(2):89–112.CrossRefGoogle Scholar
  6. Brown GC, Shields JA, Goldberg RE. Congenital pits of the optic nerve head. Ophthalmology. 1980;87(1):51–65.CrossRefGoogle Scholar
  7. Colyer MH, Weichel ED, Ward TP. Blast injury-associated optic disc pit maculopathy. Br J Ophthalmol. 2007;91(4):558.CrossRefGoogle Scholar
  8. David D, Reed OD. Congenital pits of the optic nerve. Clin Eye Vision Care. 1999;11:75–80.CrossRefGoogle Scholar
  9. 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
  10. Georgalas I, Ladas I, Georgopoulos G, Petrou P. Optic disc pit: a review. Graefes Arch Clin Exp Ophthalmol. 2010;249(8):1113–22.CrossRefGoogle Scholar
  11. Gordon R, Chatfield RK. Pits in the optic disc associated with macular degeneration. Br J Ophthalmol. 1969;53(7):481–9.CrossRefGoogle Scholar
  12. Irvine AR, Crawford JB, Sullivan JH. The pathogenesis of retinal detachment with morning glory and optic pi. Retina. 1986;6(3):146–50.CrossRefGoogle Scholar
  13. 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.CrossRefPubMedGoogle Scholar
  14. Karanjia R, Khaderi SKR, Sadun AA. Optic disc anomalies, drusen, pits, and associated retinal pathology. Ryan’s Retina. 2018;96:1786–95.Google Scholar
  15. 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.CrossRefGoogle Scholar
  16. Kranenburg EW. Crater-like holes in the optic disc and central serous retinopathy. Arch Ophthalmol. 1960;64:912–24.CrossRefGoogle Scholar
  17. Lincoff H, Kreissig I. Optical coherence tomography of pneumatic displacement of optic disc pit maculopathy. Br J Ophthalmol. 1998;82(4):367–72.CrossRefGoogle Scholar
  18. Meyer CH, Rodrigues EB. Optic disc pit maculopathy after blunt ocular trauma. Eur J Ophthalmol. 2004;14:71–3.CrossRefGoogle Scholar
  19. 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
  20. 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.CrossRefGoogle Scholar
  21. 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.CrossRefGoogle Scholar
  22. 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.CrossRefGoogle Scholar
  23. Sugar HS. Congenital pits in the optic disc with acquired macular pathology. Am J Ophthalmol. 1962;32(2):141–4.Google Scholar
  24. 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.CrossRefGoogle Scholar
  25. Wiethe T. Ein Fall von angeborener Difformitat der Sehnervenpapille. Arch Augenh. 1882;11:14–9.Google Scholar
  26. Wise G, Dollery C, Henkind P. The retinal circulation. New York: Harper & Row; 1971.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Mayara Fernanda Pacovska
    • 1
  • Eduardo Tomazoni
    • 2
  1. 1.Department of OphthalmologyGovernador Celso Ramos HospitalFlorianópolisBrazil
  2. 2.Ophthalmology, Retina FellowshipVisum RetinaFlorianópolisBrazil

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