A Case of Central Serous Retinopathy with Optic Pits Treated by Photocoagulation

ABSTRACT

The authors experienced a case of congenital pits of the optic nerve head associated with serous detachment of posterior retina in a 30 year-old male. The right optic disc was enlarged and showed 2 gray pits. They were located at 12 and 9 o'clock positions near the margin of the disc. There was a discrete, circular, 5 disc diameter sized serous retinal detachment superior and temporal to the optic disc. Fluorescein angiography revealed leakage of dye from the capillaries in the optic nerve head surrounding the optic pit, but there was no evidence of diffusion of dye into subretinal fluid. Diffuse fluorescence in the lower temporal border of serous retinal detachment, due to transmission of choroidal fluorescence through the defect of pigment epithelium, was demonstrated. Photocoagulation was applied along the superior margin of the disc, in an effort to close the communication between the pit and subretinal space. Subretinal fluid began to decrease within a few days after the laser treatment and in 2 months the detachment almost disappeared.