Acetazolamide assisted rapid resolution of optic disc pit maculopathy in a 15 year old child

A 15 years old girl presented to us with diminution of vision within 4 days of onset. The child underwent relevant investigations and a diagnosis of optic disc pit maculopathy (OPD-M) was made. The parents refused surgical intervention and so we started the child on oral acetazolamide. She was kept under repeated and close follow-ups. We noticed rapid resolution of optic disc pit maculopathy within 2 months of presentation with complete visual recovery. Oral acetazolamide was tapered during the course of 2 months. We conclude that although numerous treatment modalities have been described for optic disc pit maculopathy, a trial of oral acetazolamide can be offered in cases of optic disc pit maculopathy in paediatric patients.