DOI: https://doi.org/10.36347/sjmcr.2025.v13i05.027

Pages: 882-883

Introduction: Optic disk pit is a rare congenital anomaly, susceptible to macular complications such as serous retinal detachment of the posterior pole. Its pathogenesis remains controversial, as does its treatment. Case Report: A 32-year-old patient presented with a progressive decline in visual acuity in her right eye over the past three years. Visual acuity was 3/10 in the right eye and counting fingers at 1 m in the left eye. Funduscopy revealed a temporal Optic disk pit on the right eye associated with a macular serous retinal detachment. On the left, a chorioretinal coloboma was found occupying the posterior pole. Macular optical coherence tomography (OCT) confirmed the subretinal elevation and its papillary origin. Our approach was to implement close surveillance. Conclusion: Optic disk pit is a rare congenital anomaly. The main complication is serous maculopathy, the pathophysiology of which remains incompletely understood and its treatment is not consensual. Optic disk pit should always be considered in cases of serous retinal detachment by fundus examination supplemented by OCT.