Macular serous detachment associated with optic disc pit

Purpose: To describe a case of macular serous detachment associated with an optic disc pit successfully treated with pneumatic retinopexy and deferred laser photocoagulation. Methods: We report the case of a patient with Down syndrome and macular serous detachment secondary to an optic disc pit. Pneumatic retinopexy with C3F8 gas was performed, followed by laser photocoagulation at the edge of the optic disc one week later. Visual acuity and macular thickness were assessed by optical coherence tomography during follow-up. Results: The patient experienced a significant improvement in visual acuity and a reduction in macular detachment 2 months after the intervention. These results remained stable during the 3 years of follow-up. No complications associated with the treatment were observed. Conclusion: Pneumatic retinopexy with deferred laser photocoagulation may be an effective and safe alternative in the treatment of macular serous detachment associated with an optic disc pit, especially in patients with contraindications or limitations for more invasive surgeries.