Introduction: Optic disc pit is a rare congenital anomaly that, in 60% of cases, can be complicated by serous macular detachment.
Case report: We report the case of a 56-year-old patient who presented with serous macular detachment caused by optic disc pit and responsible for a deterioration of visual acuity. Intravitreal injection of 0.3 cc of C3F8 and peripapillary photocoagulation was unsuccessful. Vitrectomy, peripapillary photocoagulation, and intravitreal injection of C3F8 helped reduce the serous detachment and improved visual acuity.
Conclusion: Optic coherence tomography has become necessary in the management of this pathology whose mechanism is uncertain and treatment unconventional.