Vol 5 (2020): Continuous Publishing
Case report
Published online: 2020-07-09

open access

Page views 637
Article views/downloads 589
Get Citation

Connect on Social Media

Connect on Social Media

Magnetic resonance imaging evaluation of retro-bulbar optic nerve in patients with optic disc pit maculopathy

Katarzyna Baltaziak1, Lucyna Baltaziak2, Rashed Mustafa Nazzal2, Robert Rejdak2, Tomasz Pikuła3
Ophthalmol J 2020;5:25-28.


Background: Optic disc pit (ODP) is a congenital anomaly characterized by indented area of the optic nerve head most likely originating from the incomplete closure of the superior edge of the embryonic fissure. Maculopathy can occasionally complicate this anomaly as intra-retinal and sub-retinal fluid at the macula. In result, maculopathy is associated with a poor visual prognosis due to a serous macular detachment, formation of macular hole, or atrophy of the retinal pigmented epithelium. In this case series, we report of three patients with unilateral ODP.

Case report: We attempted to analyze the morphologic changes seen in the ODP and evaluate patients with a complete ophthalmologic evaluation, fundus color photography, spectral-domain optical coherence tomography (SD-OCT) scanning, and magnetic resonance imaging (MRI) of globe and orbit. Magnetic resonance imaging scan was done for optic disc diameter (ODD) and optic nerve sheath diameter (ONSD).

Conclusion: We noticed that in the patient who presented with neurosensory detachment in the macula, the ONSD is larger than in the fellow eye and is larger than the remaining two patients with ODP and without neurosensory detachment of the retina.

Article available in PDF format

View PDF Download PDF file


  1. Wiethe T. Ein Fall von angelborener Difformitaet der Sehnerven-papille. Arch Augenheilkd. 1882; 11: 14–19.
  2. Gass JD. Serous detachment of the macula. Secondary to congenital pit of the optic nervehead. Am J Ophthalmol. 1969; 67(6): 821–841.
  3. Irvine AR, Crawford JB, Sullivan JH, et al. The pathogenesis of retinal detachment with morning glory disc and optic pit. Trans Am Ophthalmol Soc. 1986; 84(3): 280–292.
  4. Gowdar JP, Rajesh B, Giridhar A, et al. An insight into the pathogenesis of optic disc pit-associated maculopathy with enhanced depth imaging. JAMA Ophthalmol. 2015; 133(4): 466–469.
  5. Moisseiev E, Moisseiev J, Loewenstein A. Optic disc pit maculopathy: when and how to treat? A review of the pathogenesis and treatment options. Int J Retina Vitreous. 2015; 1: 13.
  6. Geeraerts T, Newcombe VFJ, Coles JP, et al. Use of T2-weighted magnetic resonance imaging of the optic nerve sheath to detect raised intracranial pressure. Crit Care. 2008; 12(5): R114.
  7. Gonçalves F, Amaral L. Constructive Interference in Steady State Imaging in the Central Nervous System. Eur Neurol Rev. 2011; 6(2): 138.
  8. Chatziralli I, Theodossiadis P, Theodossiadis GP. Optic disk pit maculopathy: current management strategies. Clin Ophthalmol. 2018; 12: 1417–1422.