A case of successful laser coagulation in pediatric ophthalmology: a patient with the optic disc pit complicated by serous neuroepithelial detachment

I.I. Shevchenko

Consultative and diagnostic centre of Dneprovskii district

Kyiv (Ukraine)

E-mail: irakorsyn@gmail.com

Introduction. Optic disk pit has been considered as coloboma located, as a rule, near temporal part of the optic disc. Central serous retinal detachment develops in 50 % of patients.

The purpose of the present study was to show practically the possibility to use laser coagulation as an entire method for treatment of optic disc pit complicated by serous neuroepithelial detachment in children.

Material and Methods. A patient, 4 y/o, with Jensen’s retinochoroiditis juxtapapillaris, optic disc pit and serous neuroepithelial detachment was followed up. The patient was performed 532 nm laser, optical coherent tomography, visiometry, biomicroscopy, ophthalmoscopy and immunology research.

Results. Visual acuity increased from 0.08 to 0.5 after treatment. Neuroepithelial attachment was achieved with residual detachment up to 40 µm.

Conclusions. This case demonstrates that laser coagulation of the retina can be used as a separate and minimally invasive method of treatment for patients with optic disk pits complicated by serous neuroepithelial detachment in pediatric ophthalmology.


Key words: optic disc pit, serous neuroepithelial detachment, laser coagulation                           


1.Taylor D, Hoyt C. [Pediatric Ophthalmology]. 2007. 248 p. Russian. 

2.Avetisov ES, Kovalevskii EI, Khvatova AV. Guidelines for Pediatric Ophthalmology. M.: Meditsina; 1987. 496 p. Russian.

3.Kanski JJ.,  Milevski SA,  Damato BE, Tanner V. [Ocular fundus diseases]. 2009. 424 p.  Russian. 

4.Cywiński A,  Kałużny J,  Ferda D,  Piwońska-Lobermajer A. Posterior  vitrectomy with gas enotamponade and retinal laser     therapy in treatment of patients with macular complications of  the optic disk pit.  Klin Oczna.   2015; 117(2):83-7. Polish.  

5.Hsu  CL,  Layton  CJ.  Familial Disoders of the Optic Disk Pit: Presentation of a Mother and Douther Review of the Literature. Case Rep Ophthalmol. 2015 May-Aug; 6(2): 251–9.  Doi: 10.1159/000437381. 
Crossref   Pubmed

6.Georgalas  I,  Ladas  I,  Georgopoulos  G,  Petrou  P. Optic disk pit: a review.  Graefes Arch Clin Exp Ophthalmol. 2011 Aug;249(8):1113-22. doi: 10.1007/s00417-011-1698-5.
Crossref   Pubmed

7.Imamura Y,  Zweifel  S,  Fujiwara T,  Freund K,  Spaide R.  High-resolution optical coherence tomography findings in optic pit maculopathy. Retina.  2010;30:1104–111. doi: 10.1097/IAE.0b013e3181d87ecb

8.Choudhry N.  Double optic pit maculopathy. Ophthalmic Surg Lasers Imaging Retina.  2015  Feb; 46(2):284-6. doi: 10.3928/23258160-20150213-05.
Crossref   Pubmed

9.Taniguchi  EV,  Young  LH,  Shen  LQ. Optic nerve pit and associated macular detachment.  JAMA Ophthalmol.  2015 Jan; 133(1): e141775. doi: 10.1001/jamaophthalmol. 2014.1775.  
Crossref   Pubmed

10.Lei L,  Li T,  Ding X,  Ma W,  Zhu X,  Atik A,  Hu Y, Tang S. Gas tamponade combined with laser photogoagulation therapy for congenital optic disk pit maculopathy.   Eye (Lond). 2015 Jan; 29(1): 106–114. 10.1038/eye.2014.245
Crossref   Pubmed

11.Gregory-Roberts EM, Mateo C, Corcóstegui B, Schiff WM, Chang LK, Quiroz-Mercado H, Park S, Chang S. Optic disk pit morphology and retinal detachment: optical coherence tomography with intraoperative correlation.  Retina. 2013 Feb; 33(2):363-70. doi: 10.1097/IAE.0b013e318263d0a6.
Crossref   Pubmed