Surgical Treatment of Optic Disc Pit Associated with Macular Detachment

We report a clinical case of a serous macular detachment associated with optic disc pit (ODP), which was successfully treated with vitrectomy and internal limiting membrane (ILM) flap technique. A twenty-four-year-old woman complained of visual loss with duration over 7 months. Upon ophthalmic examination using funduscopy and spectral domain optical coherence tomography (OCT), a serous macular detachment associated with optic disc pit was diagnosed. The patient was successfully treated by 25-gauge pars plana vitrectomy with ILM peeling and placing an autologous ILM flap to cover the optic disc including the ODP. This method of treatment resulted in complete retinal reattachment with best-corrected visual acuity improvement to 20/60 from initial 20/500, and OCT showed a complete retinal attachment. This clinical case suggests that 25-gauge vitrectomy with ILM peeling and an inverted ILM flap can be an effective treatment option for optic disc pit-associated serous macular detachment.