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Revista Cubana de Oftalmología

Print version ISSN 0864-2176On-line version ISSN 1561-3070


CHIANG RODRIGUEZ, Caridad et al. Macular serous detachment associated to congenital papillary pit and papillary coloboma: What treatment options do we have?. Rev Cubana Oftalmol [online]. 2017, vol.30, n.1. ISSN 0864-2176.

Papillary pit is a rare congenital anomaly that is part of the congenital optic disc anomaly spectrum. It deals with intrapapillary invaginations that may be located at the border of the optic disc. Most of them is located at temporal level, around 20% are located centrally followed by upper, lower and nasal pits. Bilateral pits are estimated to be 10-15% and their incidence has been set at 0.19%. They are asymptomatic although 50% of cases suffer macular damage due to the passing of fluid from the papillary pit to the different retinal layers, which affecgs in a secondary way the visual acuity and thus it is the reason to go to the ophthalmologist. Multiple therapeutic alternatives for the treatment of papillary pit-associated serous retinal detachments have been described but none of them has predominated over the others. The treatment of this disease consists of closing the communication between the pit and the subretinal space with several therapeutic options such as laser photocoagulation, pneumoretinopexia, posterior scleral indentation, optic nerve fenestration, vitrectomy or any combination of the above-mentioned methods.

Keywords : macular serous detachment; papillary pit; papillary coloboma.

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