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Optic disc pit with associated serous macular detachment has a poor visual prognosis if left to its natural course. It has been suspected that the subretinal fluid originates from the vitreous cavity via an inner retinoschisis-like separation within the papillomacular bundle between the optic disc pit and the central retinal detachment.1 We report a surgical approach on the basis of this assumed pathomechanism.
A 20-year-old man presented with decreased vision in OD (right eye) due to macular detachment in association with an optic nerve pit (fig 1). Visual acuity was 20/400 OD and 20/20 OS (left eye). Optical coherence tomography revealed parapapillar retinoschisis-like separation of the outer retinal layers and …