35YOWM with "flash burn" in his vision. | Figure 1
Case Overview
35YOWM with "flash burn" in his vision.
This patient initially came to me and stated he has noticed what looks like a small flash burn in his vision in his left eye.
The photo and OCT attached show the reason behind it. This is a congenital finding that usually does not present with symptoms until there is macular edema. This patient never presented with any macular edema and there's no evidence it occurred. Retina specialist was also surprised to see a patient this young with some vision loss that was caused by an optic pit without fluid.
We suspected papillorenal syndrome due to kidney issues but the pt declined genetic testing.
Diagnosis
Optic disc Pit without maculopathy