This report describes a case of optic disc pit maculopathy treated successfully with laser photocoagulation. Optical coherence tomography (OCT) was used to assess the optic nerve and the macular area. Green laser photocoagulation was performed in an arcuate pattern to manage the macular edema. Eighteen months later, OCT showed complete regression of the macular edema. Fifty months after the laser treatment, visual acuity remained 20/20. The results of an Amsler grid test were negative and the macular area was visualized as normal. Slit-lamp laser photocoagulation is a minimally invasive technique that should be considered as a first-line treatment option in patients with optic pit maculopathy who retain their visual capacity.
Keywords: Green laser, metamorphopsia, minimal invasive treatment, optical coherence tomography, optic disc pit.