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This pleasant 8-year-old child was seen in the office on May 12, 2011. It was picked up on two school exams that his vision was poor in the left eye and his last normal exam was in preschool. You saw him for an evaluation, noticed a problem with the vision in the left eye and with the macular in the left eye, suggest he come here for an evaluation. VISUAL ACUITY: OD 20/30, OS 5/200. IOP: 14 OU. SLIT EXAMINATION: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. The macula is flat and healthy. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment. OCT SCAN: The OCT scan confirms a serous macular detachment with what looks to be inner retinal schisis, which is typical around the optic nerve pits. Photos confirm clinical findings and I did not do a fluorescein angiogram. IMPRESSION: 1. OPTIC DISC PIT/COLOBOMA WITH SEROUS MACULAR DETACHMENT DISCUSSION: I explained to the patient’s mother that these optic disc pits will sometimes spontaneously close and the serous macular detachment will resolve on their own. I suggest for at least a few months that we watch this. Based on the pigment epithelium in the back of the eye it does look like the retinal detachment is relatively fresh. If in two months it is no better, there are two treatments that are currently accepted, are laser or vitrectomy, both of which are reasonably effective at closing the pit. I think given the risk benefits of the two, especially given his age, it is reasonable to start with a little bit of laser around the optic nerve to try to seal up the area. He will return urgently if there is a problem and see you back regularly.

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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS337 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr02.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS231 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr05.jpg
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS430 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr06.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS284 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
33333
(1 votes)
nervepitrd_dafr07.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS242 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr08.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS208 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr09.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS163 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr10.jpg
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS229 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr11.jpg
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS150 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr12.jpg
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS114 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
nervepitrd_dafr13.jpg
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS191 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
00000
(0 votes)
pitrdfreshlaser_dafr01.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - Fresh Laser310 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.

No better after 3 months observation.
00000
(0 votes)
pitrdfreshlaser_dafr02.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - Fresh Laser257 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.

No better after 3 months observation.
00000
(0 votes)
pitrdfreshlaser_dafr03.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - Fresh Laser296 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.

No better after 3 months observation.
00000
(0 votes)
pitrdfreshlaser_dafr04.png
Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - Fresh Laser264 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.

VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.

No better after 3 months observation.
00000
(0 votes)
 
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This pleasant 8-year-old child was seen in the office on May 12, 2011. It was picked up on two school exams that his vision was poor in the left eye and his last normal exam was in preschool. You saw him for an evaluation, noticed a problem with the vision in the left eye and with the macular in the left eye, suggest he come here for an evaluation. VISUAL ACUITY: OD 20/30, OS 5/200. IOP: 14 OU. SLIT EXAMINATION: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. The macula is flat and healthy. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment. OCT SCAN: The OCT scan confirms a serous macular detachment with what looks to be inner retinal schisis, which is typical around the optic nerve pits. Photos confirm clinical findings and I did not do a fluorescein angiogram. IMPRESSION: 1. OPTIC DISC PIT/COLOBOMA WITH SEROUS MACULAR DETACHMENT DISCUSSION: I explained to the patient’s mother that these optic disc pits will sometimes spontaneously close and the serous macular detachment will resolve on their own. I suggest for at least a few months that we watch this. Based on the pigment epithelium in the back of the eye it does look like the retinal detachment is relatively fresh. If in two months it is no better, there are two treatments that are currently accepted, are laser or vitrectomy, both of which are reasonably effective at closing the pit. I think given the risk benefits of the two, especially given his age, it is reasonable to start with a little bit of laser around the optic nerve to try to seal up the area. He will return urgently if there is a problem and see you back regularly.