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Occult Optic Disc Pit Maculopathy in a Glaucomatous Disc.
Chokkahalli Krishnappa Nagesha1, Pratyusha Ganne1
1Department of Vitreo-Retina, Aravind Eye Hospital, Puducherry, India.
Middle East African Journal of Ophthalmology
|December 28, 2017
Summary
Optic pits are congenital optic disc defects. Optical coherence tomography (OCT) aids in diagnosing optic pit maculopathy, even with advanced glaucoma, as shown in a 60-year-old female patient.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Optic pits are congenital anomalies of the optic disc.
- Diagnosing optic pit maculopathy can be challenging, especially when the pit is not clinically apparent or confirmed by optical coherence tomography (OCT).
Observation:
- A 60-year-old female presented with a clinical scenario mimicking advanced glaucomatous cupping.
- The diagnostic challenge was compounded by the absence of a visible optic pit.
Findings:
- Optical coherence tomography (OCT) was instrumental in detecting a subtle optic disc pit.
- The OCT findings confirmed optic pit maculopathy in the presence of significant glaucomatous changes.
Implications:
- This case highlights the critical role of OCT in diagnosing optic pit maculopathy when presented with atypical features.
- Advanced imaging techniques like OCT are crucial for accurate diagnosis and management of optic disc anomalies, even in complex cases.
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