A Rare Case of Symptomatic Double Optic Disc Pit without Maculopathy

Area of Science:

• Ophthalmology
• Congenital Abnormalities
• Retinal Diseases

Background:

• Optic disc pits are rare congenital anomalies of the optic nerve head.
• Most patients with optic disc pits are asymptomatic unless maculopathy develops.
• Double optic disc pits are exceptionally rare, with few reported cases globally.

Purpose of the Study:

• To present a rare case of a double optic disc pit.
• To highlight the clinical presentation and diagnostic findings.
• To emphasize the importance of monitoring for complications.

Main Methods:

• Case report of a 51-year-old gentleman with blurred vision.
• Ophthalmic examination including fundoscopy.
• Optical Coherence Tomography (OCT) of the macula and optic disc.
• Visual field testing.

Main Results:

• A right double optic disc pit was identified.
• The patient presented with blurred vision and a paracentral visual field defect.
• Despite symptoms, no maculopathy was evident on OCT.
• OCT and visual field testing provided key diagnostic information.

Conclusions:

• Double optic disc pits are extremely rare but clinically significant findings.
• Prompt identification and management of associated maculopathy are essential.
• Timely intervention is critical for preventing poor visual outcomes in optic disc pit patients.