Purpose: To report the successful surgical outcome of two patients with a serous macular detachment and cystoid macular edema associated with a congenital optic nerve pit.
Method: Case reports. Two patients with a serous macular detachment associated with a congenital optic nerve pit were treated with 360 degrees peripapillary endophotocoagulation during vitrectomy, attempted internal subretinal fluid drainage, and fluid-gas exchange.
Results: In both cases, the retina remained attached during a follow-up period of 6 months, and the patient's vision improved dramatically. One patient improved from the counting finger level to 20/70, and the other improved from 20/200 to 20/70.
Conclusion: The use of 360 degrees peripapillary endophotocoagulation after pars plana vitrectomy for the treatment of optic nerve pit associated retinal detachment resulted in excellent visual acuity and anatomic reattachment. Attempted internal subretinal fluid drainage was unsuccessful and did not contribute to the success of the case.