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[Optical coherence tomography in optic pit and associated maculopathy].

A Hassenstein1, G Richard

  • 1Universitäts-Augenklinik und Poliklinik Eppendorf, Hamburg. hassenstein@uke.uni-hamburg.de

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|March 3, 2004
PubMed
Summary

Optical coherence tomography (OCT) reveals characteristic macular schisis in patients with optic pit maculopathy, aiding in diagnosis and differentiating it from other conditions.

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Area of Science:

  • Ophthalmology
  • Retinal Imaging
  • Medical Diagnostics

Background:

  • Optic pits are associated with maculopathy in 30% of cases.
  • The origin of optic pit maculopathy remains largely unknown.
  • This study investigates structural retinal changes in optic pit maculopathy.

Purpose of the Study:

  • To evaluate structural retinal changes in patients with optic pit and associated maculopathy.
  • To identify indications for the pathogenesis of optic pit maculopathy.
  • To compare findings from biomicroscopy, fluorescein angiography (FLA), and optical coherence tomography (OCT).

Main Methods:

  • Evaluation of 8 patients (mean age 25 years) with optic pit and associated maculopathy.
  • Utilized biomicroscopy, fluorescein angiography (FLA), and optical coherence tomography (OCT).

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  • Compared results from different diagnostic modalities.

    • Main Results:

    • Funduscopy showed macular elevation.
    • OCT revealed foveal schisis in cases of suspected pseudo-macular hole.
    • OCT demonstrated retinal detachment with convex outer retinal schisis (6 patients) and neurosensory detachment (3 patients), with or without intraretinal cysts.

    Conclusions:

    • The distinct macular schisis pattern on OCT is crucial for diagnosing optic pit maculopathy.
    • OCT findings help differentiate optic pit maculopathy from other causes of macular elevation.
    • This imaging technique provides insights into the pathogenesis of optic pit-associated maculopathy.