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[Optic disc pit complicated by serous macular detachment: a case report].
B Wolff1, F Rouberol, J Gambrelle
1Clinique Ophtalmologique Universitaire, Hôpital Edouard Herriot, Lyon.
Journal Francais D'Ophtalmologie
|November 1, 2006
Summary
Optic disc pit complications like serous macular detachment can be treated with vitrectomy and gas injection. This case report shows improved visual acuity after surgical intervention for optic disc pit maculopathy.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Optic disc pit is a rare congenital anomaly.
- Serous macular detachment (SMD) complicates 60% of optic disc pit cases.
Observation:
- A 56-year-old patient presented with SMD secondary to optic disc pit, leading to decreased visual acuity.
- Initial treatment with intravitreal C3F8 and peripapillary photocoagulation was ineffective.
Findings:
- Vitrectomy combined with peripapillary photocoagulation and intravitreal C3F8 injection successfully reduced SMD.
- The patient experienced improved visual acuity following the surgical intervention.
Implications:
- Optic coherence tomography (OCT) is crucial for managing optic disc pit-related SMD.
- The underlying mechanism of optic disc pit maculopathy remains uncertain, necessitating unconventional treatment approaches.
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