LAUSR

A 14‐year‐old boy presented with a sudden onset painless diminution of vision in the left eye for the past 2 months. There was no history of trauma or any systemic illness. Best‐corrected visual acuity was 20/20 and 20/200 in his right and left eye, respectively. Slit‐lamp examination of left eye revealed superonasal ectopia lentis with stretched zonules visible from 2 to 7 clock hours [Fig. 1a and b]. Complete physical examination and cardiac evaluation including echocardiography, tests of joint hyperflexibility, serum homocysteine levels were done to rule out any associated systemic disorders. Dilated fundus examination and fundus imaging (Optos T × 200, Optos PLC, Dunfermline, Scotland, UK)) of the left eye revealed an oval, greyish‐yellow crater‐like depression of size 1/10th the disc diameter at the temporal aspect of optic disc suggestive of an optic disc pit (ODP) associated with serous macular detachment [Fig. 2]. Swept‐source optical coherence tomography (SSOCT‐Triton‐Topcon, Tokyo, Japan) of the macula revealed retinoschisis involving multiple layers, i.e., outer segments of photoreceptors, outer nuclear layer, and outer plexiform layer [Fig. 3a]; and neurosensory detachment in the left eye extending up to the temporal margin of the disc. [Fig. 3b] Patient underwent Pars plana vitrectomy with posterior vitreous detachment (PVD) induction with instillation of platelet‐rich plasma at the site of disc pit.