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MD, FRCS, FCPS, FCPS, MHPE, CICO, CMT, Lahore General Hospital, Lahore, Pakistan DOI : 10.37845/ret.vit.2021.30.39 Optic disc pits are a very rare clinical entity with a prevalence of approximately one in 11,000 people. Patients with congenital optic disc pit may remain asymptomatic, but 25% to 75% of patients in their 30s or 40s experience visual deterioration due to the most common complication of this condition ?optic disc pit maculopathy?. Treatment of this complication is quite challenging. The most widely accepted treatment is surgical approach involving pars plana vitrectomy with or without internal limiting membrane peeling, with or without endolaser photocoagulation and C3F8 endotamponade. Optic disc pit associated maculopathy has better outcomes when it is plugged either with internal limiting membrane flap, autologous scleral plug or human amniotic membrane. Keywords : Optic disc pit, optic disc, pathophysiology of optic disc