We read with interest the recent article by Avci et al. [1] reviewing the 51 cases of optic disc pit maculopathy (OPD-M) treated with pars plana vitrectomy. We would like to share our experience of OPD-M in a child with follow-up for 3 years and emphasize few learning points.

We performed a 23G vitrectomy with internal limiting membrane peel and SF6(20%) in a 9-year-old boy with ODP-M, who presented with incidental finding of unilateral visual loss. His visual acuity at presentation was counting finger in the affected eye and had been recorded 6/6 2 years earlier by his optician. The subretinal fluid took 22 months to completely disappear (Fig. 1). Vision recovered to 6/6 unaided.

Fig. 1
figure 1

Optic disc pit maculopathy in a 9-year-old boy before surgery (1A) and 22 months after surgery (1B)

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We would like to emphasize two important learning points in managing OPD-M. First, there may be a significant delay in complete retinal reattachment in OPD-M after surgery, i.e., 22 months in our case. Hence, the clinician should monitor it for an extended period before performing a second intervention, as suggested by Avci et al. [1]. Second, young patients may have surprisingly good visual outcome after surgery despite poor visual acuity at presentation.