Choroidal neo-vascular membrane in a paediatric optic disc pit: A case report

PURPOSE: To report a paediatric patient with unilateral optic nerve pit found to have choroidal neo-vascular membrane in the same eye. OBSERVATION: An 8-year old girl known to have a unilateral optic nerve pit presented with exotropia of the right eye. On examination, her vision was 20/40; sub-retinal haemorrhage was noted on clinical fundus exam and a sub retinal vascular net was confirmed on optical coherence tomography angiography. CONCLUSION AND IMPORTANCE: The unusual finding of a choroidal neo-vascular membrane in a known optic nerve pit case represents a new finding of a possible complication. Patients with optic nerve pit may be considered as candidates for OCT-angiography for further diagnosis and proper treatment leading to improved vision, care and prognosis.