Optic disc pit: clinical and swept source optical coherence tomography characteristics

Abstract

AbstractPurposeTo study clinical and swept source optical coherence tomography (SS‐OCT) characteristics in eyes with optic disc pit (ODP).MethodsA retrospective case series of 7 eyes of 6 patients with ODP. All patients underwent a detailed ophthalmic examination, fundus photography and SS‐OCT scan of the macula and the optic disc.ResultsMean age of diagnosis of ODP was 23 years old. Two patients were males and four patients were females. ODP was bilateral in one patient. It was associated with other ocular abnormalities in one eye. Three patients complained from blurred vision and three patients were asymptomatic. Mean BCVA at presentation in eyes with ODP was +0.5 LogMar. ODP was identified in funds examination in four eyes. SS‐OCT identified abnormalities of the optic disc in all eyes and showed ODP maculopathy in six eyes.ConclusionsODP is a rare congenital anomaly of the optic disc that can be associated with maculopathy leading to progressive visual deterioration. SS‐OCT is a noninvasive tool for diagnoses of this disease specially when ODP is not obvious on fundoscopy, it allows the diagnosis of ODP maculopathy and may identify the mechanism of fluid passage from the optic disc pit to the macula.