OCT in successful surgery of retinal detachment associated with optic nerve head pit

The authors describe the course of a patient with retinal detachment associ ated with optic nerve head pit for whom optical coherence tomography (OCT) was performed before and after vitrectomy and gas tamponade. An 18-year-old woman presented with macular elevation and a lamellar macular hole associa ted with optic nerve head pit. OCT showed that the retinal elevation consis ted of both separation of the inner and outer retinal layers and detachment of the outer layers from the retinal pigment epithelium. After vitreous su rgery and postoperative intraocular gas tamponade, the macular elevation gr adually resolved, and OCT showed that improvement in central vision corresp onded with flattening of the outer layer detachment in the fovea. OCT is a useful tool for monitoring the therapeutic effect of vitrectomy and gas tam ponade For retinal detachment associated with optic nerve head pit.