This is a photo of a 17 year old female I saw last week. This is an Optic Nerve Pit with sub retinal fluid. It is a congenital condition. She presented with a 3 day history of blur and distortion in the right eye, with the blurring and distortion moving to the central part of her visual field 1 day ago. She presents acuities of the right 6/90, no improvement with pinhole and the left 6/6.
Normally, an isolated optic nerve pit would not call for any treatment. However, due to the sub-retinal fluid, this patient will require a vitrectomy. I’ll keep you updated on his progress.