Optic disc pit maculopathy: a review of diagnosis and treatment

Clin Exp Optom. 2020 Jul;103(4):425-429. doi: 10.1111/cxo.12957. Epub 2019 Aug 22.


Optic disc pit is a rare congenital defect which appears as a circumscribed greyish depression in the lamina cribrosa. Serous macular detachment is one of the most visually debilitating complications of optic disc pit, affecting 25-75 per cent of patients. Although there is a wide variety of treatment modalities available with varying degrees of success, there is yet no consensus in the optimal management of optic disc pit-associated maculopathy. This review discusses the literature on the pathogenesis, clinical presentation, diagnosis and treatment options.

Keywords: foveoschisis; optic disc pit maculopathy; serous macular detachment.

Publication types

  • Review

MeSH terms

  • Disease Management*
  • Eye Abnormalities / diagnosis*
  • Eye Abnormalities / therapy
  • Humans
  • Optic Disk / abnormalities*
  • Tomography, Optical Coherence / methods*
  • Visual Acuity*