Case 9

Patient Presentation: A 5-year-old male presents with a 3-month history of gradually worsening vision in his left eye. Vision was 20/25 OD and 20/200 OS. There was no RAPD. The patient denied any recent history of ocular trauma and is otherwise healthy. There was a vague maternal family history of retinal detachment. The patient's fundus photograph is shown below:

Given the decline in vision, an OCT macula OS was performed below:

Retina 9-1.png
Retina 9-2.png

Question: What pathology is NOT present in the OCT shown to the left?

What is the Diagnosis?

Retina 9-2.png

Question: What is the management for this diagnosis?

Learning Objectives:

1. Recognize features of optic pit maculopathy, which include subretinal fluid, macular edema, and retinoschisis on OCT.

2. Understand the importance of examining the optic nerve head carefully for optic pits when assessing a patient with subretinal fluid involving the macula.